Organization · Type 2 NPI

Sole Proprietor

Primary Care Clinic/Center · Washington, PA

NPI number 1568845832 Active

Practice location

510 Locust Ave
Washington, PA 15301-3331

Specialties and licenses

TaxonomyCodeLicense
Primary Care Clinic/Center Primary 261QP2300XSP015047 (PA)

Primary Care Clinic/Center: Definition to come...

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About NPI 1568845832

Sole Proprietor's National Provider Identifier is 1568845832, issued on Jul 6, 2015. The primary taxonomy on file is Primary Care Clinic/Center (261QP2300X), and the practice location is in Washington, PA. The record was last updated on Jul 6, 2015.