Organization
FAYETTE PHYSICIAN NETWORK INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ELIZABETH WORKMAN (REV CYCLE MANAGER)
(724) 430-5181
Entity
Organization
Contact information
Practice address
500 W BERKELEY ST, UNIONTOWN, PA 15401-5514
(724) 430-6889
(724) 430-3384
Mailing address
211 EASY ST, SUITE 127, UNIONTOWN, PA 15401-3129
(724) 430-8032
(724) 434-1659
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207R00000X
Internal Medicine Physician
Primary
—
—
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
2084N0400X
Neurology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
09/23/2014
Last updated
05/28/2020
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