Fayette Physician Network INC

NPI #1710389994 in Grindstone, Pennsylvania

Provider Information

NPI Number
1710389994
Entity Type
Organization
Organization Name
Fayette Physician Network INC
Primary Specialty
Family Medicine
Enumeration Date
Sep 19, 2014
Last Updated
Sep 19, 2014

Practice Location

Address
111B ROBERTS RD
ZIP Code
15442-1105
Phone
(724) 785-2286

Authorized Official

Name
MARK EHALT
Title
SR.DIRECTOR
Phone
(412) 647-0943

Specialties & Taxonomy Codes

Specialty
Family Medicine

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