Organization
CRAWFORD COUNTY SUB-SPECIALISTS GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RENATO J. SUNTAY (CHIEF FINANCIAL OFFICER)
(814) 333-5031
Entity
Organization
Contact information
Practice address
765 LIBERTY STREET,, SUITE 203 LIBERTY STREET SURGERY, MEADVILLE, PA 16335
(814) 333-5697
(814) 373-2989
Mailing address
765 LIBERTY STREET,, SUITE 203 LIBERTY STREET SURGERY, MEADVILLE, PA 16335
(814) 333-5697
(814) 373-2989
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
—
Other
Enumeration date
04/30/2010
Last updated
05/07/2010
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