Organization
GLADE RUN MEDICAL ASSOCIATES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICK BURNS (VP OF FINANCE & CFO)
(724) 543-8618
Entity
Organization
Contact information
Practice address
1 NOLTE DR, KITTANNING, PA 16201-7111
(724) 543-8670
(724) 543-8535
Mailing address
1 NOLTE DR, KITTANNING, PA 16201-7111
(724) 543-8670
(724) 543-8535
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
208600000X
Surgery Physician
—
—
Other
Enumeration date
06/04/2009
Last updated
02/06/2012
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