Organization
MEADVILLE MEDICAL CENTER
Active
Other names
Pulmonary Associates of Meadville
Organization subpart
No
Provider details
NPI number
Authorized official
CORY FRANK JACKSON (CONTROLLER)
(814) 333-5766
Entity
Organization
Contact information
Practice address
765 LIBERTY ST STE 307B, MEADVILLE, PA 16335-2569
(814) 333-5691
(814) 333-7093
Mailing address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5691
(814) 333-7093
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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