Organization
DUBOIS REGIONAL MEDICAL GROUP, PC
Active
Other names
North Central Cardiology Associates (NCCA)
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN S SUTIKA (VICE PRESIDENT & CFO)
(814) 375-6104
Entity
Organization
Contact information
Practice address
807 DOCTORS DR, CLEARFIELD, PA 16830-1240
(814) 375-3711
Mailing address
PO BOX 189, REYNOLDSVILLE, PA 15851-0189
(814) 653-8162
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100751931-0006
—
PA
Enumeration date
05/11/2007
Last updated
09/28/2007
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