Organization
GLADE RUN MEDICAL ASSOCIATES, INC
Active
Organization
GLADE RUN MEDICAL ASSOCIATES, INC
Active
Parent organization
GLADE RUN MEDICAL ASSOCIATES
Other names
Sarver Internal Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLADE RUN MEDICAL ASSOCIATES
Authorized official
PATRICK C BURNS CFO (CFO)
(724) 543-8618
Entity
Organization
Contact information
Practice address
700 MEDICAL ARTS BLDG, SUITE 710, KITTANNING, PA 16201-7141
(724) 543-8624
(724) 543-8736
Mailing address
112 CAPITOL PARK DR, SARVER, PA 16055-8102
(724) 719-9300
(724) 294-9488
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881820850
GROUP NPI
PA
Enumeration date
01/06/2012
Last updated
01/06/2012
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