| Fayette Physician Network Inc | |
|
2175 Mcclellandtown Rd Suite 201 Masontown PA 15461-2593 | |
| (724) 583-2819 | |
| (724) 583-8550 |
| Full Name | Fayette Physician Network Inc |
|---|---|
| Speciality | Family Medicine |
| Location | 2175 Mcclellandtown Rd, Masontown, 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 2175 Mcclellandtown Rd Suite 201 Masontown PA 15461-2593 Ph: (724) 583-2819 | Fayette Physician Network Inc 2175 Mcclellandtown Rd Suite 201 Masontown PA 15461-2593 Ph: (724) 583-2819 |
| NPI Number | 1780086967 |
|---|---|
| Provider Enumeration Date | 09/19/2014 |
| Last Update Date | 09/19/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780086967 | 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: 2175 Mcclellandtown Rd, Suite 201, Masontown, PA 15461 Phone: 724-583-2819 Fax: 724-583-8550 |