Organization · Type 2 NPI
Clear Med Provider Group
Health Service Clinic/Center · Mahaffey, PA
NPI number
1629204060
Active
Practice location
2772 Cecil Hurd Hwy
Mahaffey, PA 15757-6322
Fax (814) 277-6873
Mailing address
809 Turnpike Ave
Clearfield, PA 16830-1232
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | MD047546L (PA) |
| Internal Medicine Physician | 207R00000X | MD031136L (PA) |
| Health Service Clinic/Center Primary | 261QH0100X | None listed |
| Physician Assistant | 363A00000X | MA051554 (PA) |
Health Service Clinic/Center: Definition to come...
About NPI 1629204060
Clear Med Provider Group's National Provider Identifier is 1629204060, issued on May 29, 2009. The primary taxonomy on file is Health Service Clinic/Center (261QH0100X), and the practice location is in Mahaffey, PA. The record was last updated on Aug 10, 2010.