Meadville Medical Center

NPI #1841782869 in Meadville, Pennsylvania

Provider Information

NPI Number: 1841782869
Entity Type: Organization
Organization Name: Meadville Medical Center
Primary Specialty: Urology
Enumeration Date: Jun 5, 2018
Last Updated: Aug 8, 2018

Practice Location

Address: 765 LIBERTY ST STE 207A
City: Meadville
State: Pennsylvania
ZIP Code: 16335
Phone: (814) 373-2156

Authorized Official

Name: CORY FRANK JACKSON
Title: CONTROLLER
Phone: (814) 333-5766

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Urology	208800000X	Primary

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