Healthcare Provider Details

I. General information

NPI: 1215955703
Provider Name (Legal Business Name): KEITH L. ZELIGER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/17/2006
Last Update Date: 04/19/2021
Certification Date: 04/19/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

761 JOHNSONBURG RD STE 310
SAINT MARYS PA
15857-3480
US

IV. Provider business mailing address

100 HOSPITAL AVE
DU BOIS PA
15801-1440
US

V. Phone/Fax

Practice location:
  • Phone: 814-834-1686
  • Fax: 814-834-6279
Mailing address:
  • Phone: 814-375-6549
  • Fax: 814-372-2864

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207X00000X
TaxonomyOrthopaedic Surgery Physician
License NumberOS-005944-L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: