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
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