Avlc Altoona, LLC
Specialist in Duncansville, PA. Organization (NPI-2).
NPI number1750631925
StatusActive
Last updated in NPPESSep 14, 2012
Details
- NPI
- 1750631925
- Entity type
- Organization (NPI-2)
- Legal business name
- Avlc Altoona, LLC
- Organization subpart
- No
- Enumeration date
- Sep 14, 2012
- Last updated
- Sep 14, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 174400000X | Specialist | MD065086L | PA | Yes |
Practice location
723 Broad StRoute 22
Duncansville, PA 16635-9450
Phone 814-515-9919 · Fax 717-741-2204
Mailing address
723 Broad StreetRoute 22
Duncansville, PA 16635
Phone 814-515-9919 · Fax 717-741-2204
Authorized official
David C Faber
Physician
8145159919
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