Organization
DUBOIS REGIONAL MEDICAL GROUP PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN SUTIKA (VP & CFO)
(814) 375-6104
Entity
Organization
Contact information
Practice address
1049 N FRONT ST, PHILIPSBURG, PA 16866-8258
(814) 768-8888
(814) 768-9444
Mailing address
300 E MAIN ST, REYNOLDSVILLE, PA 15851-1282
(814) 653-8162
(814) 653-8164
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
Other
Enumeration date
06/12/2007
Last updated
07/02/2012
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