Organization
ALTOONA LUNG SPECIALISTS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA M DIEHL (OFFICE MANAGER)
(814) 946-2846
Entity
Organization
Contact information
Practice address
801 HOWARD AVE, ALTOONA, PA 16601-4727
(814) 946-2846
(814) 946-1274
Mailing address
800 CHESTNUT AVE, ALTOONA, PA 16601-4722
(814) 946-2846
(814) 946-1274
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
MD014366E
PA
207RP1001X
Pulmonary Disease Physician
MD017146E
PA
207RP1001X
Pulmonary Disease Physician
MD061570L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CF6245
RAILROAD MEDICARE
PA
Enumeration date
06/14/2006
Last updated
04/26/2011
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