Fayette Physician Network INC
NPI #1780086967 in Masontown, Pennsylvania
Provider Information
- NPI Number
- 1780086967
- 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
- 2175 MCCLELLANDTOWN RD
- Address 2
- SUITE 201
- City
- Masontown
- State
- Pennsylvania
- ZIP Code
- 15461-2593
- Phone
- (724) 583-2819
Authorized Official
- Name
- MARK EHALT
- Title
- SR.DIRECTOR
- Phone
- (412) 647-0943
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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