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NPI Code Detail

MEDICARE: TROUGH CREEK FAMILY PRACTICE

MEDICARE: TROUGH CREEK FAMILY PRACTICE
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
1207Q00000XFamily Medicine PhysicianMD044701LPA

General Provider Information

NPI Number : 1407062912
Entity Type Code : Organization
Provider Name (Legal Business Name) : TROUGH CREEK FAMILY PRACTICE
Provider Business Mailing Address
First Line : 3228 COLD SPRINGS RD
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-2721
Country : US
Telephone Number : 814-644-0605
Fax Number : 814-644-0637
Provider Business Practice Location Address
First Line : 3228 COLD SPRINGS RD
Second Line :
City : HUNTINGDON
State : PA
Zip : 16652-2721
Country : US
Telephone Number : 814-644-0605
Fax Number : 814-644-0637
Authorized Official
Title or Position : OWNER
Name : DR. MARK R MINOR
Credential : M.D.
Telephone Number : 814-644-0605
Provider Enumeration Date : 05/15/2007
Last Update Date : 07/09/2008

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Directions to “TROUGH CREEK FAMILY PRACTICE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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