Organization
PREFERRED PRIMARY CARE PHYSICIANS
Active
Other names
PPCP McClellandtown Road Iannamorelli
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LUTZ (EXECUTIVE DIRECTOR)
(412) 531-2902
Entity
Organization
Contact information
Practice address
104 MCCLELLANDTOWN RD, SUITE B, UNIONTOWN, PA 15401-5527
(724) 438-1808
Mailing address
104 MCCLELLANDTOWN RD, SUITE B, UNIONTOWN, PA 15401-5527
(724) 438-1808
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010198580007
—
PA
Enumeration date
01/16/2007
Last updated
08/22/2020
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