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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