Wyoming Valley Pet Associates
NPI #1720066392 in Forty Fort, Pennsylvania
Provider Information
- NPI Number
- 1720066392
- Entity Type
- Organization
- Organization Name
- Wyoming Valley Pet Associates
- Primary Specialty
- Clinic/Center - Radiology
- Enumeration Date
- Jan 4, 2006
- Last Updated
- Jun 18, 2008
Practice Location
- Address
- 190 WELLES ST
- City
- Forty Fort
- State
- Pennsylvania
- ZIP Code
- 18704-4968
- Phone
- (570) 331-7702
Authorized Official
- Name
- MR. EDWARD J GRACE
- Title
- DIRECTOR OF BILLING
- Phone
- (610) 993-1640
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Radiology — Radiology |
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