Organization
MEADVILLE DIAGNOSTIC MEDICAL IMAGING, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERIC T MCDERMOTT MD (MEDICAL DIRECTOR)
(814) 333-5603
Entity
Organization
Contact information
Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5603
Mailing address
PO BOX 1198, SOMERSET, PA 15501-0336
(814) 444-8910
(814) 444-9782
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
08/10/2006
Last updated
07/25/2014
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