Individual
DR. MARIO J POON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1321 11TH AVENUE, ALTOONA, PA 16601-3301
(814) 942-2411
(814) 296-2040
Mailing address
1321 11TH AVENUE, ALTOONA, PA 16601-3301
(814) 942-2411
(814) 296-2040
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MD045266E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012358700019
—
PA
05
—
0012358700020
—
PA
01
—
0657861
HIGHMARK
PA
Enumeration date
03/14/2006
Last updated
10/01/2012
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