Blakely Emergency Group PC

NPI #1467887596 in Peckville, Pennsylvania

Provider Information

NPI Number
1467887596
Entity Type
Organization
Organization Name
Blakely Emergency Group PC
Primary Specialty
Emergency Medicine
Enumeration Date
Sep 9, 2013
Last Updated
Sep 9, 2013

Practice Location

Address
1400 MAIN ST
ZIP Code
18452-2009
Phone
(800) 893-9698

Authorized Official

Name
SYLVAN WALLER, MD
Title
PRESIDENT
Phone
(800) 893-9698

Specialties & Taxonomy Codes

Specialty
Physician Assistant
Nurse Practitioner
Emergency Medicine

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