Healthcare Provider Details

I. General information

NPI: 1053364059
Provider Name (Legal Business Name): NASON PHYSICIAN SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2006
Last Update Date: 12/15/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 HILLCREST DR
ROARING SPRING PA
16673-1210
US

IV. Provider business mailing address

105 NASON DR
ROARING SPRING PA
16673-1202
US

V. Phone/Fax

Practice location:
  • Phone: 814-224-5455
  • Fax: 814-224-5004
Mailing address:
  • Phone: 814-224-6201
  • Fax: 814-224-6247

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. RAYMOND C ASKEY
Title or Position: CFO
Credential:
Phone: 814-224-6201