Organization
CRAWFORD COUNTY ENT PC
Active
Organization
CRAWFORD COUNTY ENT PC
Active
Other names
Peter F White MD
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ANGELA MOOK (OFFICE MANAGER)
(814) 373-3070
Entity
Organization
Contact information
Practice address
505 POPLAR ST, MEADVILLE, PA 16335-3057
(814) 373-3070
(814) 373-3074
Mailing address
505 POPLAR ST, MEADVILLE, PA 16335-3057
(814) 373-3070
(814) 373-3074
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD046736L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012963010001
—
PA
01
—
079117
MEDICARE PTAN
PA
Enumeration date
02/20/2007
Last updated
11/30/2022
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