Organization
CONCORDIA PHYSICIAN PRACTICE
Active
Parent organization
CONCORDIA LUTHERAN MINISTRIES
Organization subpart
Yes
Provider details
NPI number
Legal business name
CONCORDIA LUTHERAN MINISTRIES
Authorized official
MR. KEITH E FRNDAK (CHIEF EXECUTIVE OFFICER)
(724) 352-1571
Entity
Organization
Contact information
Practice address
112 MARWOOD ROAD #5000, CABOT, PA 16023-2245
(724) 352-4448
(724) 352-4412
Mailing address
112 MARWOOD ROAD #5000, CABOT, PA 16023-2245
(724) 352-4448
(724) 352-4412
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
Other
Enumeration date
05/15/2015
Last updated
05/15/2015
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