Organization
WEST PENN ORTHOPAEDICS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JILL M NICK (OFFICE MANAGER)
(814) 226-1070
Entity
Organization
Contact information
Practice address
18 SPORTSMAN DR, SUITE 20, CLARION, PA 16214-8538
(814) 226-1070
(814) 226-1072
Mailing address
18 SPORTSMAN DR, SUITE 20, CLARION, PA 16214-8538
(814) 226-1070
(814) 226-1072
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
OS005397L
PA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
MD035051E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0011448100011
—
PA
Enumeration date
06/15/2006
Last updated
09/11/2025
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