| Organization Name: | FREDERICK B DOERFLER JR |
| NPI Number: | 1043481377 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | FREDERICK B DOERFLER (OWNER) |
| Mailing Address: | 260 S Jefferson St Kittanning |
| State: | PA US |
| Postal Code: | 162012422 |
| Phone Number: | 7245451288 |
| Fax Number: | 7245457615 |
| NPI Enumeration Date: | 03/14/2008 |
| NPI Last Update Date: | 03/14/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363LP2300X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | PA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Nurse Practitioner |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |