Organization
THE WESTMORELAND DIGESTIVE DISORDERS GROUP LLC
Active
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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