institution
Phillip States, Md, Family Practice
Rural Health Clinic/Center in Punxsutawney, Pennsylvania
NPI 1376865816

Phillip States, Md, Family Practice is a Rural Health Clinic/Center based in Punxsutawney, PA and is specialized in Rural Health. Phillip States, Md, Family Practice practices in Punxsutawney, PA. The NPI Number for Phillip States, Md, Family Practice is 1376865816 and holds a License No. 393918 (Pennsylvania).

The current practice location address for Phillip States, Md, Family Practice is 81 Hillcrest Dr, Punxsutawney, PA and can be reached out via phone at 814-938-3550 and via fax at 814-938-3679.

Location: 81 Hillcrest Dr, Punxsutawney, PA, 15767-2605
institution
Provider Profile Details
NPI Number
1376865816
Provider Name
Phillip States, Md, Family Practice
Credential
Provider Entity Type
Organization
Address
81 Hillcrest Dr, Punxsutawney, PA, 15767-2605
Phone Number
814-938-3550
Fax Number
814-938-3679
Provider Enumeration Date
02/25/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
393918 01 PA CMS CERTIFICATION NUMBER
1019257860003 05 PA
institution
Provider Business Practice Location Address Details
Address
81 Hillcrest Dr
City
State
Zip
15767-2605
Phone Number
814-938-3550
Fax Number
814-938-3679
person
Provider Business Mailing Address Details
Address
81 Hillcrest Dr
City
State
Zip
15767-2605
Phone Number
814-938-3550
Fax Number
814-938-3679
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
Rural Health
Taxonomy
License No.
393918 (Pennsylvania)
Definition
Definition to come...
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