Organization
ALLEGHENY CLINIC
Active
Organization
ALLEGHENY CLINIC
Active
Other names
AHN Primary Care Montour
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY WALTEMIRE (PROVIDER ENROLLMENT SPECIALIST)
(412) 330-5864
Entity
Organization
Contact information
Practice address
2419 STATE AVE STE 200, CORAOPOLIS, PA 15108-2233
(412) 625-2625
(412) 625-2627
Mailing address
2419 STATE AVE STE 200, CORAOPOLIS, PA 15108-2233
(412) 625-2625
(412) 625-2627
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
—
—
Other
Enumeration date
12/21/2023
Last updated
12/21/2023
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