Organization
EPMG OF PENNSYLVANIA, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RODNEY W. SMITH M.D. (CHIEF MEDICAL OFFICER)
(800) 466-3764
Entity
Organization
Contact information
Practice address
1400 MAIN ST, PECKVILLE, PA 18452-2009
(570) 489-7546
Mailing address
2000 GREEN RD, SUITE 300, ANN ARBOR, MI 48105-1598
(800) 466-3764
(734) 995-2913
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0016957360006
—
PA
01
—
EP1784066
BC/BS HIGHMARK
PA
Enumeration date
06/11/2006
Last updated
01/27/2011
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