Organization
DURELL L. DECARLO DC, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAMMY SAMPLES (ASSISTANT MANAGER)
(724) 437-8200
Entity
Organization
Contact information
Practice address
150 WAYLAND SMITH DR, SUITE A, UNIONTOWN, PA 15401-2677
(724) 437-8200
(724) 437-6673
Mailing address
150 WAYLAND SMITH DR, SUITE A, UNIONTOWN, PA 15401-2677
(724) 437-8200
(724) 437-6673
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
007461
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019128830002
—
PA
Enumeration date
10/10/2008
Last updated
01/08/2009
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