Organization · Type 2 NPI
Your Neighborhood Doc PC
Primary Care Clinic/Center · Kane, PA
NPI number
1336335090
Active
Practice location
38 Thompson Park
Kane, PA 16735-0399
Fax (814) 837-6494
Mailing address
P O Box 399, 38 Thompson Park
Kane, PA 16735-0399
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Primary Care Clinic/Center Primary | 261QP2300X | MD037007L (PA) |
Primary Care Clinic/Center: Definition to come...
About NPI 1336335090
Your Neighborhood Doc PC's National Provider Identifier is 1336335090, issued on Sep 17, 2007. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Kane, PA. The record was last updated on Nov 8, 2007.