Organization
CLEARFIELD PROFESSIONAL GROUP, LTD.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BLAIR WITHEROW (BUSINESS MANAGER)
(814) 765-5796
Entity
Organization
Contact information
Practice address
820 TURNPIKE AVE, CLEARFIELD, PA 16830-1229
(814) 765-2412
(814) 765-8807
Mailing address
820 TURNPIKE AVE, CLEARFIELD, PA 16830-1229
(814) 765-2412
(814) 765-8807
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
207RP1001X
Pulmonary Disease Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011097860011
—
PA
Enumeration date
07/19/2006
Last updated
01/24/2014
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