Healthcare Provider Details

I. General information

NPI: 1891748877
Provider Name (Legal Business Name): VALLEY GASTROENTEROLOGY ASSOCIATES PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 09/20/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 KNOWLSON AVE
BEAVER FALLS PA
15010-1634
US

IV. Provider business mailing address

100 KNOWLSON AVE
BEAVER FALLS PA
15010-1634
US

V. Phone/Fax

Practice location:
  • Phone: 724-891-2100
  • Fax: 724-891-2734
Mailing address:
  • Phone: 724-891-2100
  • Fax: 724-891-2734

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number
License Number State

VIII. Authorized Official

Name: MRS. JONI MARIE CURRENT
Title or Position: PRACTICE ADMINISTRATOR
Credential: MBA
Phone: 724-891-2100