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Individual

DR. DAVID D PASSARELLI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
901 BENNER PIKE, STATE COLLEGE, PA 16801-7317
(814) 237-2225
(814) 237-2520
Mailing address
901 BENNER PIKE, STATE COLLEGE, PA 16801-7317
(814) 237-2225
(814) 237-2520

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001874L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0006316720001
PA
01
0025735000
INDEPENDANCE BLUE CROSS
PA
01
01360451
HIGHMARK
PA
01
01450901
CAPITAL BLUE CROSS
PA
Enumeration date
12/20/2006
Last updated
04/28/2016
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