Healthcare Provider Details

I. General information

NPI: 1437318128
Provider Name (Legal Business Name): OBRYON FAMILY MEDICINE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/06/2008
Last Update Date: 04/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

898 BEAVER DR
DU BOIS PA
15801-2512
US

IV. Provider business mailing address

898 BEAVER DR
DU BOIS PA
15801-2512
US

V. Phone/Fax

Practice location:
  • Phone: 814-371-3980
  • Fax: 814-371-8317
Mailing address:
  • Phone: 814-371-3980
  • Fax: 814-371-8317

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES E OBRYON
Title or Position: OWNER
Credential: MD
Phone: 814-371-3980