Prime Physician Group INC

NPI #1063128262 in Greensburg, Pennsylvania

Provider Information

NPI Number: 1063128262
Entity Type: Organization
Organization Name: Prime Physician Group INC
Primary Specialty: Internal Medicine
Enumeration Date: Jan 30, 2023
Last Updated: Jan 30, 2023

Practice Location

Address: 1000 FAULKNER WAY
City: Greensburg
State: Pennsylvania
ZIP Code: 15601-9044
Phone: (724) 853-6847

Authorized Official

Name: JUDE ELIAS, MD
Title: OWNER/PHYSICIAN
Phone: (724) 853-6847

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X
Internal Medicine	207R00000X	Primary

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