Organization
DUBOIS REGIONAL MEDICAL GROUP PC
Active
Parent organization
PENN HIGHLANDS HEALTHCARE
Organization subpart
Yes
Provider details
NPI number
Legal business name
PENN HIGHLANDS HEALTHCARE
Authorized official
MR. JOHN S SUTIKA (AUTHORIZED OFFICIAL & SECRETARY)
(814) 375-3385
Entity
Organization
Contact information
Practice address
820 TURNPIKE AVE, CLEARFIELD, PA 16830-1233
(814) 765-2412
Mailing address
100 HOSPITAL AVE, DU BOIS, PA 15801-1440
(814) 375-6566
(814) 372-2848
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100751931
—
PA
Enumeration date
06/12/2007
Last updated
03/08/2016
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