Pioneer Medical PA LLC
NPI #1376296525 in Portage, Pennsylvania
Provider Information
- NPI Number
- 1376296525
- Entity Type
- Organization
- Organization Name
- Pioneer Medical PA LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jan 28, 2022
- Last Updated
- Aug 22, 2022
Practice Location
- Address
- 132 BLOCK RD
- City
- Portage
- State
- Pennsylvania
- ZIP Code
- 15946-6905
- Phone
- (901) 603-6113
Authorized Official
- Name
- JEFFERY COPELAND, MD
- Title
- OWNER
- Phone
- (901) 603-6113
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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