Glade Run Medical Associates, INC

NPI #1467722462 in Kittanning, Pennsylvania

Provider Information

NPI Number: 1467722462
Entity Type: Organization
Organization Name: Glade Run Medical Associates, INC
Subpart: Yes (part of a larger organization)
Parent Organization: GLADE RUN MEDICAL ASSOCIATES
Primary Specialty: Internal Medicine
Enumeration Date: Jan 6, 2012
Last Updated: Jan 6, 2012

Practice Location

Address: 700 MEDICAL ARTS BLDG
Address 2: SUITE 710
City: Kittanning
State: Pennsylvania
ZIP Code: 16201-7141
Phone: (724) 543-8624

Authorized Official

Name: PATRICK C BURNS, CFO
Title: CFO
Phone: (724) 543-8618

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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