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Individual

DR. PATRICK F. SHILALA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.O.

Contact information

Practice address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-3471
(814) 375-3472

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
OS-004686-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000151180
HIGHMARK BLUE CROSS
PA
05
0009633500001
PA
Enumeration date
08/09/2006
Last updated
04/23/2014
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