Organization
FAYETTE PHYSICIAN NETWORK INC
Active
Other names
FPN Smithfield
Organization subpart
No
Provider details
NPI number
Authorized official
MARK EHALT (SR.DIRECTOR)
(412) 647-0943
Entity
Organization
Contact information
Practice address
25 MAIN ST, SMITHFIELD, PA 15478-8943
(724) 569-1420
(724) 569-5209
Mailing address
25 MAIN ST, SMITHFIELD, PA 15478-8943
(724) 569-1420
(724) 569-5209
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/19/2014
Last updated
09/19/2014
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