Organization
DENNIS M. DEVITA, M.D. P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DENNIS M DEVITA M.D. (SURGEON)
(717) 242-0367
Entity
Organization
Contact information
Practice address
305 FOURT ST, PLEASANT ACRES, LEWISTOWN, PA 17044-1399
(717) 242-0367
(717) 242-0369
Mailing address
305 FOURT ST, PLEASANT ACRES, LEWISTOWN, PA 17044-1399
(717) 242-0367
(717) 242-0369
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
MD19256E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007712160001
—
PA
01
—
03046400
CAPITAL BLUE CROSS
PA
01
—
147667
HIGHMARK BLUE SHIELD
PA
Enumeration date
12/29/2006
Last updated
08/22/2020
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