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Organization

WEST PARK DIAGNOSTIC LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
EDWARD ST. CLAIR (OWNER)
(814) 437-6191
Entity
Organization

Contact information

Practice address
571 PONE LANE, FRANKLIN, PA 16323
(814) 437-6191
(814) 437-6197
Mailing address
571 PONE LANE, FRANKLIN, PA 16323
(814) 437-6191
(814) 437-6197

Taxonomy

Speciality
Code
Description
License number
State
2251E1300X
Clinical Electrophysiology Physical Therapist
Primary

Other

Enumeration date
06/03/2022
Last updated
08/02/2022
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