Organization
JUNIATA VALLEY GASTROENTEROLOGY ASSOCIATES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES W EVERHART JR. M.D. (PRESIDENT)
(717) 242-2531
Entity
Organization
Contact information
Practice address
310 ELECTRIC AVE STE 100, LEWISTOWN, PA 17044-1369
(717) 242-2531
(717) 242-1028
Mailing address
310 ELECTRIC AVE STE 100, LEWISTOWN, PA 17044-1369
(717) 242-2531
(717) 242-1028
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001054982
—
PA
01
—
02407600
CAPITAL BLUE CROSS
PA
01
—
1258
GEISINGER HEALTH PLAN
PA
01
—
F2189
RAILROAD MEDICARE
PA
Enumeration date
07/02/2006
Last updated
06/20/2011
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