Individual
DR. ROBERT A. MENTYKA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
200 SCENERY DR, STATE COLLEGE, PA 16801-7974
(814) 231-4560
(814) 235-5512
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207K00000X
Allergy & Immunology Physician
Primary
MD025552E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000976760
—
PA
Enumeration date
04/06/2006
Last updated
08/12/2020
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