Organization
STATE COLLEGE ANESTHESIA ASSOCIATES, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID J DURKIN MD (CEO)
(814) 235-3898
Entity
Organization
Contact information
Practice address
1850 E PARK AVE, STATE COLLEGE, PA 16803-6706
(814) 231-7000
Mailing address
1530 MARTIN ST, STATE COLLEGE, PA 16803-3058
(814) 235-3898
(814) 235-3899
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010947360007
—
PA
01
—
02719900
CAPITAL BLUE CROSS
PA
01
—
1119
GEISINGER HEALTH PLAN
PA
01
—
CN9411
RAILROAD MEDICARE
PA
Enumeration date
05/19/2006
Last updated
08/22/2020
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