Organization
BEDFORD WELLNESS CENTER LLC
Active
Other names
Bedford Wellness Center
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L LAYTON (BILLER)
(814) 310-5001
Entity
Organization
Contact information
Practice address
342 S RICHARD ST, BEDFORD, PA 15522-1743
(814) 623-8414
(814) 623-6668
Mailing address
342 S RICHARD ST, BEDFORD, PA 15522-1743
(814) 623-8414
(814) 623-6668
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009365-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018649730001
—
PA
Enumeration date
01/18/2018
Last updated
01/18/2018
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