NPI 1841782869

Meadville Medical Center

Organisation Urology Physician Meadville, PA

Practice location

Address: 765 Liberty St STE 207a, Meadville, PA 16335
Phone: (814) 373-2156
Fax: (814) 373-2159
Mailing address: 1034 Grove St, Meadville, PA 16335-2945

Authorised official

Name: Cory Frank Jackson
Title: Controller
Phone: (814) 333-5766

Registered specialties

Urology Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 208800000X

Other Urology providers in Pennsylvania →

Registry record

NPI: 1841782869
Entity type: Organization
NPI issued: 5 Jun 2018
Record last updated: 8 Aug 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.