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Organization

CENTERVILLE CLINICS, INC WAYSBURG PACE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PATRICIA MARTOS (DIRECTOR PERSONNEL AND FIINANCE)
(724) 632-6801
Entity
Organization

Contact information

Practice address
300 NORTH ST, WAYNESBURG, PA 15370-8139
(724) 627-8027
(724) 627-8027
Mailing address
1070 OLD NATIONAL PIKE, FREDERICKTOWN, PA 15333-2114
(724) 632-6801
(724) 632-6312

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1007288440025
PA
Enumeration date
01/29/2008
Last updated
01/29/2008
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