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Organization

FAYETTE PHYSICIAN NETWORK

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DOROTHY KNIGHT (EXECUTIVE ADMINISTRATOR)
(724) 430-8035
Entity
Organization

Contact information

Practice address
111 ROBERTS RD, GRINDSTONE, PA 15442-1105
(724) 785-2286
Mailing address
PO BOX 524, ROSCOE, PA 15477-0524
(724) 678-9772

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA058454
PA

Other

Enumeration date
10/06/2016
Last updated
10/06/2016
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