| Ahn Primary Care - Butler | |
|
103 Technology Dr Butler PA 16001-1785 | |
| (412) 482-0176 | |
| (724) 485-0167 |
| Full Name | Ahn Primary Care - Butler |
|---|---|
| Speciality | Internal Medicine |
| Location | 103 Technology Dr, Butler, Pennsylvania |
| Authorized Official Name and Position | Cindy Waltemire (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Contact | 4123305864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ahn Primary Care - Butler 103 Technology Dr Butler PA 16001-1785 Ph: (412) 482-0176 | Ahn Primary Care - Butler 103 Technology Dr Butler PA 16001-1785 Ph: (412) 482-0176 |
| NPI Number | 1194347104 |
|---|---|
| Provider Enumeration Date | 05/13/2020 |
| Last Update Date | 10/14/2020 |
| Certification Date | 10/14/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1194347104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (NU) | Secondary |
| 207R00000X | Internal Medicine | (NU) | Primary |
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