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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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