Organization
MEADVILLE MEDICAL CENTER
Active
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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