Organization
WARREN CBOC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BARBARA MAYERICK (DIRECTOR, BUSINESS DEVELOPMENT)
(202) 254-0385
Entity
Organization
Contact information
Practice address
3 FARM COLONY DR, WARREN, PA 16365-5209
(814) 723-9763
Mailing address
3 FARM COLONY DR, WARREN, PA 16365-5209
(814) 723-9763
Taxonomy
Speciality
Code
Description
License number
State
261QV0200X
VA Clinic/Center
Primary
—
—
Other
Enumeration date
01/11/2007
Last updated
08/22/2020
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