Organization · Type 2 NPI

Dubois Regional Medical Center

Sports Medicine (Family Medicine) Physician · Du Bois, PA

NPI number 1780125062 Active

Practice location

145 Hospital Ave, Suite 312
Du Bois, PA 15801-1462

Call (814) 375-6200 Map

Mailing address

100 Hospital Ave
Du Bois, PA 15801-1440

Specialties and licenses

Taxonomy	Code	License
Clinical Neuropsychologist	103G00000X	None listed
Sports Medicine (Family Medicine) Physician Primary	207QS0010X	None listed

Sports Medicine (Family Medicine) Physician: A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomecha…

69 other providers at this address

NPI record

NPI: 1780125062
Entity type: Organization (Type 2)
Issued: Mar 20, 2017
Last updated: Apr 5, 2017
Status: Active
Subpart: Yes of Penn Highlands Healthcare

Other names

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Penn Highlands Concussion Clinic · doing business as

Authorized official

Brian S Kline
VP/cfo/authorized Official
(814) 375-6377

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1780125062

Dubois Regional Medical Center's National Provider Identifier is 1780125062, issued on Mar 20, 2017. The primary taxonomy on file is Sports Medicine (Family Medicine) Physician (207QS0010X), and the practice location is in Du Bois, PA. The record was last updated on Apr 5, 2017.