Organization
GREENVILLE ORTHOPEDIC ASSOCIATION,INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CAROL LAVERTY (BILLING CLERK)
(724) 588-7250
Entity
Organization
Contact information
Practice address
1 GREENVILLE ORTHOPEDIC CTR, GREENVILLE, PA 16125-1210
(724) 588-7250
(724) 588-1559
Mailing address
1 GREENVILLE ORTHOPEDIC CTR, GREENVILLE, PA 16125-1210
(724) 588-7250
(724) 588-1559
Taxonomy
Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007784780004
—
PA
Enumeration date
01/18/2006
Last updated
07/21/2022
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