Healthcare Provider Details

I. General information

NPI: 1659347334
Provider Name (Legal Business Name): ANIE G PERARD M.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/23/2006
Last Update Date: 06/30/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24 DOCTORS LN SUITE 304
CLARION PA
16214-8568
US

IV. Provider business mailing address

121 DOCTORS LN
CLARION PA
16214-8515
US

V. Phone/Fax

Practice location:
  • Phone: 814-226-8800
  • Fax: 814-226-4280
Mailing address:
  • Phone: 814-226-3740
  • Fax: 814-226-3479

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207V00000X
TaxonomyObstetrics & Gynecology Physician
License NumberMD427624
License Number StatePA

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: