Organization
ADVANCED INTEGRATIVE MEDICINE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROY E KERRY MD (PRESIDENT)
(724) 588-2600
Entity
Organization
Contact information
Practice address
17 6TH AVE, GREENVILLE, PA 16125-1237
(724) 588-2600
(724) 588-6427
Mailing address
17 6TH AVE, GREENVILLE, PA 16125-1237
(724) 588-2600
(724) 588-6427
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD008220E
PA
Other
Enumeration date
12/06/2006
Last updated
06/20/2008
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