Fayette Physician Network

NPI #1710437348 in Grindstone, Pennsylvania

Provider Information

NPI Number: 1710437348
Entity Type: Organization
Organization Name: Fayette Physician Network
Primary Specialty: Physician Assistant
Enumeration Date: Oct 6, 2016
Last Updated: Oct 6, 2016

Practice Location

Address: 111 ROBERTS RD
City: Grindstone
State: Pennsylvania
ZIP Code: 15442-1105
Phone: (724) 785-2286

Authorized Official

Name: DOROTHY KNIGHT
Title: EXECUTIVE ADMINISTRATOR
Phone: (724) 430-8035

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X	Primary

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