Organization
SAINT VINCENT MEDICAL EDUCATION AND RESEARCH INSTITUTE
Active
Other names
Saint Vincent Neurological Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA BALLMAN (EXECUTIVE DIRECTOR)
(814) 452-5296
Entity
Organization
Contact information
Practice address
1910 SASSAFRAS ST, SUITE 300, ERIE, PA 16502-2716
(814) 452-7809
(814) 452-7848
Mailing address
3530 PEACH ST, SUITE LL1, ERIE, PA 16508-2768
(814) 860-5036
(814) 860-5063
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100772520
—
PA
Enumeration date
10/04/2006
Last updated
11/02/2010
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