Organization
THE WESTMORELAND DIGESTIVE DISORDERS GROUP LLC
Active
Other names
Latrobe Gastroenterology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J PROVANCE D.O (SR. PARTNER)
(724) 532-2801
Entity
Organization
Contact information
Practice address
443 FRYE FARM ROAD, SUITE 200, GREENSBURG, PA 15601
(724) 532-2801
(724) 532-2757
Mailing address
443 FRYE FARM ROAD, SUITE 200, GREENSBURG, PA 15601
(724) 532-2801
(724) 532-2757
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015669440003
—
PA
Enumeration date
11/15/2006
Last updated
05/20/2013
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