Organization
PUNXSUTAWNEY MEDICAL SERVICES, INC
Active
Other names
Punxsutawney Anesthesia Services
Organization subpart
No
Provider details
NPI number
Authorized official
JACK G SISK (PRESIDENT)
(814) 938-1882
Entity
Organization
Contact information
Practice address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1886
(814) 938-1885
Mailing address
81 HILLCREST DR, PUNXSUTAWNEY, PA 15767-2605
(814) 938-1886
(814) 938-1885
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015479580012
—
PA
01
—
805492
MEDICARE
—
Enumeration date
01/18/2018
Last updated
02/07/2023
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