Individual
JOHN M VASIL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1704 PHILADELPHIA AVE, NORTHERN CAMBRIA, PA 15714-1180
(814) 948-0775
(814) 948-0746
Mailing address
1704 PHILADELPHIA AVE, NORTHERN CAMBRIA, PA 15714-1180
(814) 948-0775
(814) 948-0746
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009127L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0017035060002
—
PA
01
—
N5VA975689
BLUE SHIELD
PA
Enumeration date
08/11/2006
Last updated
12/04/2007
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