Organization
FAYETTE SPECIALTY ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE MILLER (ADMINISTRATOR DIRECTOR)
(724) 430-5797
Entity
Organization
Contact information
Practice address
204 MEMORIAL BLVD, CONNELLSVILLE, PA 15425-2654
(724) 626-7370
(724) 626-7339
Mailing address
211 EASY ST, SUITE 213, UNIONTOWN, PA 15401-3129
(724) 434-1660
(724) 434-1659
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008468480003
—
PA
Enumeration date
04/10/2008
Last updated
04/10/2008
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