| Grc Physician Services Llc | |
|
100 Moffett Run Rd Aliquippa PA 15001-9152 | |
| (724) 638-9888 | |
| Not Available |
| Full Name | Grc Physician Services Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 100 Moffett Run Rd, Aliquippa, Pennsylvania |
| Authorized Official Name and Position | Julia D'alo (CHIEF MEDICAL OFFICER) |
| Authorized Official Contact | 4127465771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Grc Physician Services Llc 100 Moffett Run Rd Aliquippa PA 15001-9152 Ph: (724) 638-9888 | Grc Physician Services Llc 100 Moffett Run Rd Aliquippa PA 15001-9152 Ph: (724) 638-9888 |
| NPI Number | 1689404915 |
|---|---|
| Provider Enumeration Date | 08/02/2024 |
| Last Update Date | 01/07/2025 |
| Medicare PECOS PAC ID | 2365971777 |
|---|---|
| Medicare Enrollment ID | O20250130002001 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689404915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| Provider Name | Heather L Vega |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508866997 PECOS PAC ID: 9133284110 Enrollment ID: I20090209000429 |
| Provider Name | Anthony F Gentile |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1538129507 PECOS PAC ID: 0941344741 Enrollment ID: I20100217000492 |
| Provider Name | Julia M Dalo |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1205034006 PECOS PAC ID: 6800928227 Enrollment ID: I20110805000435 |
| Provider Name | Tricia H Powell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1891057295 PECOS PAC ID: 1052568268 Enrollment ID: I20120823000175 |
| Provider Name | Kristen Shields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1366813446 PECOS PAC ID: 7810298171 Enrollment ID: I20151211000248 |
| Provider Name | David Zilka |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114709052 PECOS PAC ID: 9234659491 Enrollment ID: I20250219000987 |
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