Individual
EUGENE PAUL NALLIN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
144 5TH AVE, HYNDMAN, PA 15545-7379
(814) 842-3206
(814) 842-3746
Mailing address
PO BOX 706, HYNDMAN, PA 15545-0706
(814) 842-3206
(814) 842-3746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
D34812
MD
207Q00000X
Family Medicine Physician
Primary
MD037858E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010786340003
—
PA
05
—
439801700
—
MD
Enumeration date
09/20/2005
Last updated
09/01/2022
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