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NPI Profile for DUBOIS REGIONAL MEDICAL CENTER in DUBOIS, PA.
A physician engaged in the subspecialty practice of Addiction Medicine who specializes in the prevention, evaluation, diagnosis, treatment, and recovery of persons with the disease of addiction.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Addiction Medicine |
2083A0300X | 84 | Physician/Preventive Medicine | |
Addiction Medicine |
207QA0401X | 08 | Physician/Family Practice | |
Family Medicine |
207Q00000X | 08 | Physician/Family Practice |
| NPI # | 1710296157 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 10/04/2010 | |
| Last updated | 01/12/2023 - About 3 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
|
|
| Hospital affiliation(s) | Not Available |
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DUBOIS REGIONAL MEDICAL CENTER
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DUBOIS REGIONAL MEDICAL CENTER