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Individual

DR. JAMES RICHARD MORT

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C.

Contact information

Practice address
107 HARRISON AVE, MANOR, PA 15665-9721
(724) 863-9982
Mailing address
PO BOX 724, MANOR, PA 15665-0724
(724) 863-9982

Taxonomy

Speciality
Code
Description
License number
State
111NR0400X
Rehabilitation Chiropractor
#543
WV
111NR0400X
Rehabilitation Chiropractor
Primary
D.C.004661L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
2284287
AETNA HMO
PA
01
4355211
AETNA PPO
PA
01
MO480376
HGS
PA
Enumeration date
10/10/2006
Last updated
07/08/2007
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