Facts
- Status
- A
- Type
- Organization
- Enumeration date
- 2006-10-06
- Last updated
- 2020-08-22
Specialties
Licenses
The registry row did not include a license.
Location
- Practice location
- 1309 BUCKTAIL RD
- City
- SAINT MARYS PA
- Postal code
- 158573264
- Phone
- 814-834-1134
Organization contact
- Name
- DANIEL CARR
- Title
- OWNER
- Phone
- 8148341134
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
The OIG NPI list is not in this build yet. Confirm on OIG's search.
Nearby
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Removal request
Public data from NPPES and CMS. Not a credentialing determination.