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Organization

GLADE RUN MEDICAL ASSOCIATES

Active
Parent organization
GLADE RUN MEDICAL ASSOCIATES
Other names
ACMH - Urology
Organization subpart
Yes

Provider details

NPI number
Legal business name
GLADE RUN MEDICAL ASSOCIATES
Authorized official
PATRICK BURNS (CFO)
(724) 543-8618
Entity
Organization

Contact information

Practice address
400 MEDICAL ARTS BLDG, STE 410, KITTANNING, PA 16201-7160
(724) 543-4046
Mailing address
400 MEDICAL ARTS BLDG, STE 410, KITTANNING, PA 16201-7160
(724) 543-4046

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary

Other

Enumeration date
03/10/2010
Last updated
03/10/2010
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