Individual
MARY ANNE BARNICLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1265 WAYNE AVE, SUITE 208, INDIANA, PA 15701-2776
(724) 463-8850
(724) 463-7072
Mailing address
1265 WAYNE AVE., SUITE 208, INDIANA, PA 15701-2776
(724) 463-8850
(724) 463-7072
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
MD038816E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0014015970003
—
PA
01
—
078917
HIGHMARK BCBS
PA
01
—
1769333
HIGHMARK BC BS
PW
Enumeration date
04/03/2006
Last updated
12/27/2012
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