Organization
MUA ASSOCIATES OF PENNSYLVANIA
Active
Organization
MUA ASSOCIATES OF PENNSYLVANIA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DANIEL THOEDORE WEST DC RCRD FABCS FRCCM (CORPORATE OFFICER)
(717) 355-2940
Entity
Organization
Contact information
Practice address
4605 DIVISION HWY, EAST EARL, PA 17519
(717) 355-2940
(717) 355-2940
Mailing address
4605 DIVISION HWY, EAST EARL, PA 17519
(717) 355-2940
(717) 355-2940
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699148
HIGHMARK BLUE SHIELD
PA
Enumeration date
05/16/2007
Last updated
07/14/2009
Update your record
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