| Brockway Family Practice Llc | |
|
1100 Main St Brockway PA 15824-0219 | |
| (814) 268-3645 | |
| (814) 265-1795 |
| Full Name | Brockway Family Practice Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 1100 Main St, Brockway, Pennsylvania |
| Authorized Official Name and Position | James E Devlin (PROVIDER) |
| Authorized Official Contact | 8142683645 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Brockway Family Practice Llc 1100 Main St Brockway PA 15824-0219 Ph: (814) 268-3645 | Brockway Family Practice Llc 1100 Main St Brockway PA 15824-0219 Ph: (814) 268-3645 |
| NPI Number | 1467031773 |
|---|---|
| Provider Enumeration Date | 04/05/2021 |
| Last Update Date | 04/05/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467031773 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Dubois Regional Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1200 Wood St, Brockway, PA 15824 Phone: 814-265-8636 Fax: 814-265-8536 | |
James Edward Devlin Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1100 Main St, Brockway, PA 15824 Phone: 814-268-3645 Fax: 814-265-1795 |