Organization
PENN HIGHLANDS LIFE'S JOURNEY
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
RUSSELL CAMERON MD (DIRECTOR, AUTHORIZED OFFICIAL)
(814) 375-3442
Entity
Organization
Contact information
Practice address
190 W PARK AVE, DU BOIS, PA 15801-2277
(814) 371-1900
(814) 503-8568
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-4024
(814) 372-2579
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VM0101X
Maternal & Fetal Medicine Physician
—
—
Other
Enumeration date
04/06/2018
Last updated
10/30/2018
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