NPI 1417209693 · live from the CMS NPI Registry
A-K Valley Physical Medicine LLC
Family Medicine, Sports Medicine in Lower Burrell, PA. National Provider Identifier 1417209693, active.
NPI record
| NPI | 1417209693 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Family Medicine, Sports Medicine 207QS0010X |
| Practice location | 1170 Wildlife Lodge Rd, Lower Burrell, PA 15068 |
| Practice phone | 724-339-0370 |
| Enumerated | October 11, 2012 |
| Last updated | May 20, 2013 |
| Authorized official | Alec Cirigliano, Co-Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | — |
| Family Medicine, Sports Medicine primary | 207QS0010X | OS014379 (PA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.