Organization
NORTH HILLS PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLINTON R LOWERY DPM (OWNER)
(724) 935-5533
Entity
Organization
Contact information
Practice address
10900 PERRY HWY, WEXFORD, PA 15090-8370
(724) 935-5533
(724) 935-5890
Mailing address
10900 PERRY HWY, WEXFORD, PA 15090-8370
(724) 935-5533
(724) 935-5890
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC002876-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01064719
—
PA
01
—
169867
HIGHMARK BLUE SHIELD PROV
PA
Enumeration date
02/09/2007
Last updated
07/13/2010
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