Southside Internal Medicine-Pediatrics LLC

NPI #1184729071 in Oil City, Pennsylvania

Provider Information

NPI Number: 1184729071
Entity Type: Organization
Organization Name: Southside Internal Medicine-Pediatrics LLC
Primary Specialty: Internal Medicine
Enumeration Date: Sep 14, 2006
Last Updated: Nov 19, 2009

Practice Location

Address: 204 CENTRAL AVE
City: Oil City
State: Pennsylvania
ZIP Code: 16301-2738
Phone: (814) 677-4045

Authorized Official

Name: DONNA M ANDERSON, MD
Title: OWNER
Phone: (814) 677-4045

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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