| Fayette Physician Network Inc | |
|
111b Roberts Rd Grindstone PA 15442-1105 | |
| (724) 785-2286 | |
| (724) 785-3187 |
| Full Name | Fayette Physician Network Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 111b Roberts Rd, Grindstone, Pennsylvania |
| Authorized Official Name and Position | Mark Ehalt (SR.DIRECTOR) |
| Authorized Official Contact | 4126470943 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Fayette Physician Network Inc 111b Roberts Rd Grindstone PA 15442-1105 Ph: () - | Fayette Physician Network Inc 111b Roberts Rd Grindstone PA 15442-1105 Ph: (724) 785-2286 |
| NPI Number | 1710389994 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710389994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Fayette Medical Associates Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 111b Roberts Rd, Grindstone, PA 15442 Phone: 724-785-2161 Fax: 724-785-3187 |