Organization
MEDICAL ASSOCIATES OF ERIE
Active
Organization
MEDICAL ASSOCIATES OF ERIE
Active
Other names
Sports Medicine and Integrative Care
Organization subpart
No
Provider details
NPI number
Authorized official
DENNIS STYN (PRESIDENT)
(814) 528-9709
Entity
Organization
Contact information
Practice address
5515 PEACH ST, ERIE, PA 16509-2603
(814) 864-4031
Mailing address
1 LECOM PL, ERIE, PA 16505-2571
(814) 528-9709
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101066458
—
PA
Enumeration date
06/04/2008
Last updated
06/04/2008
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