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Organization

MEADVILLE EMERGENCY PHYS PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
THOMAS MITCHELL MD (MEDICAL DIRECTOR)
(814) 333-5000
Entity
Organization

Contact information

Practice address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5000
Mailing address
751 LIBERTY ST, MEADVILLE, PA 16335-2559
(814) 333-5000

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0019610000001
PA
Enumeration date
06/21/2006
Last updated
08/22/2020
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