| Elk Regional Professional Group, Inc. | |
|
104 Metoxet St Ridgway PA 15853-1932 | |
| (814) 788-5456 | |
| (814) 772-7278 |
| Full Name | Elk Regional Professional Group, Inc. |
|---|---|
| Speciality | Family Medicine |
| Location | 104 Metoxet St, Ridgway, Pennsylvania |
| Authorized Official Name and Position | Rita V Olszewski (VICE PRESIDENT, ERPG) |
| Authorized Official Contact | 8147888580 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elk Regional Professional Group, Inc. 104 Metoxet St Ridgway PA 15853-1932 Ph: (814) 788-5456 | Elk Regional Professional Group, Inc. 104 Metoxet St Ridgway PA 15853-1932 Ph: (814) 788-5456 |
| NPI Number | 1356338743 |
|---|---|
| Provider Enumeration Date | 09/30/2005 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356338743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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