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Organization

DARRELL J. DATKO DO

Active
Other names
DJD Anesthesia Associates
Organization subpart
No

Provider details

NPI number
Authorized official
DARREL J. DATKO DO (PRESIDENT)
(814) 226-9500
Entity
Organization

Contact information

Practice address
1 HOSPITAL DR, CLARION, PA 16214-8501
(814) 226-9500
(914) 226-1228
Mailing address
PO BOX 947, CHAMBERSBURG, PA 17201-0947
(717) 263-5562
(717) 263-1566

Taxonomy

Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
207LP2900X
Pain Medicine (Anesthesiology) Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001818451
PA
Enumeration date
07/20/2005
Last updated
07/08/2008
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