Individual provider · Type 1 NPI

Grant Austin Ciavarella, DO

Diagnostic Radiology Physician · Port Matilda, PA

NPI number 1285097907 Active

Practice location

132 Abigail Ln
Port Matilda, PA 16870-7153

Call (814) 272-7100 Map

Fax (814) 272-6501

Mailing address

100 N Academy Ave
Danville, PA 17822-4903

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Diagnostic Radiology Physician Primary 2085R0202XOS021010 (PA)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1285097907

Grant Austin Ciavarella, DO's National Provider Identifier is 1285097907, issued on Mar 30, 2016. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Port Matilda, PA. The record was last updated on Jun 28, 2021.