Organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Active
Parent organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES, INC.
Authorized official
KIRK L MILLER (VP, PHYS SERV & EXEC DIR, EHPP)
(724) 830-8500
Entity
Organization
Contact information
Practice address
520 JEFFERSON AVE, ROOM 503, JEANNETTE, PA 15644-2538
(724) 527-1544
(724) 527-5026
Mailing address
520 JEFFERSON AVE, ROOM 503, JEANNETTE, PA 15644-2538
(724) 527-1544
(724) 527-5026
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009992L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001562186
—
PA
Enumeration date
04/08/2008
Last updated
11/10/2009
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