MEDICARE: MAGLEY FAMILY PRACTICE, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician

General Provider Information

NPI Number	:	1023205929
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MAGLEY FAMILY PRACTICE, INC

Provider Business Mailing Address
First Line	:	1100 W HIGH ST
Second Line	:
City	:	EBENSBURG
State	:	PA
Zip	:	15931-1706
Country	:	US
Telephone Number	:	814-472-7320
Fax Number	:	814-472-5666

Provider Business Practice Location Address
First Line	:	1100 W HIGH ST
Second Line	:
City	:	EBENSBURG
State	:	PA
Zip	:	15931-1706
Country	:	US
Telephone Number	:	814-472-7320
Fax Number	:	814-472-5666

Authorized Official
Title or Position	:	PRESIDENT
Name	:	ROBERT SCOTT MAGLEY
Credential	:	M.D.
Telephone Number	:	814-472-7320

Provider Enumeration Date	:	09/25/2007
Last Update Date	:	09/25/2007

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Directions to “MAGLEY FAMILY PRACTICE, INC ” Practice Location

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