Phillip John States M.D.

NPI 1093791246 - Family Medicine - 207Q00000X

NPI Details
NPI 1093791246
Gender Male
Enumeration Date 12/20/2005
Last Updated 10/30/2015
Entity Type Individual
Active Over 10 years ago
Practice Location
83 HILLCREST DR
SUITE 200
PUNXSUTAWNEY PA, 15767-2605, US
Phone (814) 938-3550
Fax (814) 938-3679
Business Location
83 HILLCREST DR
SUITE 200
PUNXSUTAWNEY PA, 15767-2605, US
Phone (814) 938-3550
Fax (814) 938-3679
Toxanomy
Taxonomy Code 207Q00000X
License State Pennsylvania
License Number MD423371
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According to our database, Phillip John States M.D. NPI is 1093791246, taxonomy code is 207Q00000X and license number is MD423371, license state is located at Pennsylvania. Phillip John States M.D. physically located at 83 Hillcrest Dr, Punxsutawney PA, 15767-2605. NPI Number Phillip John States M.D. has the Individual type.

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1093791246 NPI number is provided on an as is basis without warranty of any kind. 1093791246 is maintained by the National Plan & Provider Enumeration System. The contents of Phillip John States M.D. are for informational purposes only.