Organization
MEADVILLE SURGICAL ASSOCIATES PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER JOSEPH WEIBEL MD (PRESIDENT)
(814) 337-6602
Entity
Organization
Contact information
Practice address
765 LIBERTY ST, SUITE 311, MEADVILLE, PA 16335-2566
(814) 337-6602
(814) 336-5307
Mailing address
765 LIBERTY ST, SUITE 311, MEADVILLE, PA 16335-2566
(814) 337-6602
(814) 336-5307
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD054547L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01746521
—
PA
Enumeration date
10/13/2005
Last updated
08/22/2020
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