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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