Individual
DR. BRIAN MCINTOSH
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-3300
Mailing address
2 W CRESCENT PARK, WARREN, PA 16365-2111
(814) 723-3300
(814) 723-3300
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD016603E
PR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00026771101
UNIVERA
NY
01
—
033817
BLUE SHIELD
PA
01
—
163013
MEDPLUS
PA
Enumeration date
10/19/2005
Last updated
07/08/2007
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