Organization
WESTERN PENNSYLVANIA ORTHOPEDICS AND SPORTS MEDICINE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES PRICE MBA (ADMINISTRATOR)
(814) 255-6781
Entity
Organization
Contact information
Practice address
2 CELESTE DR, JOHNSTOWN, PA 15905-2832
(814) 255-6781
(814) 255-5716
Mailing address
2 CELESTE DR, JOHNSTOWN, PA 15905-2832
(814) 255-6781
(814) 255-5716
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
335E00000X
Prosthetic/Orthotic Supplier
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000559282
HIGHMARK BLUE SHIELD PROV
PA
Enumeration date
08/05/2006
Last updated
01/14/2009
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