| Excela Square At Latrobe Primary Care | |
|
100 Excela Health Drive Latrobe PA 15650 | |
| (724) 804-1725 | |
| (724) 804-1727 |
| Full Name | Excela Square At Latrobe Primary Care |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Excela Health Drive, Latrobe, Pennsylvania |
| Authorized Official Name and Position | Renee M Varney (LEAD CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7248506933 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Excela Square At Latrobe Primary Care 134 Industrial Park Rd Ste 1500 Greensburg PA 15601-8153 Ph: (724) 850-6933 | Excela Square At Latrobe Primary Care 100 Excela Health Drive Latrobe PA 15650 Ph: (724) 804-1725 |
| NPI Number | 1942713409 |
|---|---|
| Provider Enumeration Date | 11/07/2017 |
| Last Update Date | 02/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942713409 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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