Individual
DR. ROBERT R CONCILUS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1034 GROVE ST, MEADVILLE, PA 16335-2945
(814) 333-5736
(814) 333-5819
Mailing address
463 PINE ST, MEADVILLE, PA 16335-2974
(814) 333-5872
(814) 333-5832
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
MD027700E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00002753
UPMC HEALTH PLAN
PA
05
—
0011352490005
—
PA
01
—
410609
HIGHMARK BLUE SHIELD
PA
Enumeration date
06/15/2006
Last updated
07/08/2007
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