Organization
LATROBE SURGICAL GROUP LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CATHERINE J PENROD (OFFICE MANAGER)
(724) 537-7100
Entity
Organization
Contact information
Practice address
443 FRYE FARM ROAD, SUITE 100, GREENSBURG, PA 15601
(724) 537-7100
(724) 537-9847
Mailing address
443 FRYE FARM ROAD, SUITE 100, GREENSBURG, PA 15601
(724) 537-7100
(724) 537-9847
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0018040440002
—
PA
01
—
108268
MEDPLUS
PA
01
—
125680
HEALTH AMERICA/ASSURANCE
PA
01
—
1510692
GATEWAY
PA
01
—
2348044
AETNA HMO
PA
01
—
342220
HIGHMARK
PA
01
—
7123139
AETNA NON-HMO
PW
Enumeration date
03/02/2006
Last updated
08/02/2007
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