Organization
EXCELA HEALTH PHYSICIAN PRACTICES
Active
Parent organization
EXCELA HEALTH PHYSICIAN PRACTICES, INC
Other names
Excela Health Connellsville Family Practice-R. Conn, MD
Organization subpart
Yes
Provider details
NPI number
Legal business name
EXCELA HEALTH PHYSICIAN PRACTICES, INC
Authorized official
JOHN M SPHON (VICE PRESIDENT)
(724) 830-8500
Entity
Organization
Contact information
Practice address
2616 MEMORIAL BLVD, SUITE B, CONNELLSVILLE, PA 15425-1418
(724) 628-9350
(724) 628-9353
Mailing address
2616 MEMORIAL BLVD, SUITE B, CONNELLSVILLE, PA 15425-1418
(724) 628-9350
(724) 628-9353
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD427026
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015621860064
—
PA
Enumeration date
07/16/2006
Last updated
03/13/2008
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