Healthcare Provider Details

I. General information

NPI: 1932197340
Provider Name (Legal Business Name): MARGARET K WARNER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/10/2005
Last Update Date: 06/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

188 INDUSTRIAL PARK RD STE B
EBENSBURG PA
15931-4107
US

IV. Provider business mailing address

188 INDUSTRIAL PARK RD STE B
EBENSBURG PA
15931-4107
US

V. Phone/Fax

Practice location:
  • Phone: 814-471-9005
  • Fax: 814-471-9007
Mailing address:
  • Phone: 814-471-9005
  • Fax: 814-471-9007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number0S008566L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: