Organization
ATWOOD AND CLARK CONSULTANTS
Active
Organization
ATWOOD AND CLARK CONSULTANTS
Active
Other names
Midway Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
ATA WHAQ MD (MEDICAL DIRECTOR)
(724) 658-9477
Entity
Organization
Contact information
Practice address
1630 D MIDLAND BEAVER RD, INDUSTRY, PA 15052
(724) 643-4101
(724) 643-4102
Mailing address
1630 D MIDLAND BEAVER RD, INDUSTRY, PA 15052
(724) 643-4101
(724) 643-4102
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
261QX0100X
Occupational Medicine Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1011188300002
—
PA
05
—
1543350
—
PA
Enumeration date
09/11/2006
Last updated
02/19/2008
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