Organization
ORTHOPAEDIC SURGEONS INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HOLLY E STEPHAN (PRACTICE ADMINISTRATOR)
(814) 454-2401
Entity
Organization
Contact information
Practice address
204 WEST 26 STREET, ERIE, PA 16508-1898
(814) 454-2401
(814) 459-5992
Mailing address
204 WEST 26 STREET, ERIE, PA 16508-1898
(814) 454-2401
(814) 459-5992
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
—
—
225100000X
Physical Therapist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007283130005
—
PA
01
—
008032
HIGHMARK OFC
PA
01
—
119770100
US DEPT OF LABOR
PA
01
—
1453653
HIGHMARK PT
PA
01
—
CF2245
RR MEDICARE
—
Enumeration date
04/14/2006
Last updated
12/10/2009
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