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Organization

FORE YOUR HEALTH FAMILY MEDICINE, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
PHUONG T WIRTHS DO (PHYSICIAN/OWNER)
(814) 236-3993
Entity
Organization

Contact information

Practice address
1541 CURWENSVILLE GRAMPIAN HWY, GRAMPIAN, PA 16838-7924
(814) 236-3993
(814) 236-3957
Mailing address
1541 CURWENSVILLE GRAMPIAN HWY, GRAMPIAN, PA 16838-7924
(814) 236-3993
(814) 236-3957

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS009145L
PA

Other

Enumeration date
10/02/2014
Last updated
10/08/2014
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