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Grant Austin Ciavarella, DO
Diagnostic Radiology Physician in Port Matilda, Pennsylvania
NPI 1285097907

Grant Austin Ciavarella is a Diagnostic Radiology Physician based in Danville, PA and is specialized in Diagnostic Radiology. Grant Austin Ciavarella practices in Port Matilda, PA and has the professional credentials of DO. The NPI Number for Grant Austin Ciavarella is 1285097907 and holds a License No. (Pennsylvania).

The current practice location address for Grant Austin Ciavarella is 132 Abigail Ln, Port Matilda, PA and can be reached out via phone at 814-272-7100 and via fax at 814-272-6501.

Location: 132 Abigail Ln, Port Matilda, PA, 17822-4903
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1285097907
Provider Name
Grant Austin Ciavarella
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
132 Abigail Ln, Port Matilda, PA, 17822-4903
Phone Number
814-272-7100
Fax Number
814-272-6501
Provider Enumeration Date
03/30/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
132 Abigail Ln
City
Port Matilda
State
Pennsylvania
Zip
16870-7153
Phone Number
814-272-7100
Fax Number
814-272-6501
person
Provider Business Mailing Address Details
Address
132 Abigail Ln
City
Port Matilda
State
Pennsylvania
Zip
16870-7153
Phone Number
814-272-7100
Fax Number
814-272-6501
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Radiology
Speciality
Diagnostic Radiology
Taxonomy
2085R0202X
License No.
OS021010 (Pennsylvania)
Definition
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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