| Organization Name: | MISTAL DEBORAH J DO PC |
| NPI Number: | 1295180719 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DEBORAH JEAN MISTAL (PRESIDENT) |
| Mailing Address: | 32 W Foothills Dr Drums |
| State: | PA US |
| Postal Code: | 182222407 |
| Phone Number: | 5707885000 |
| Fax Number: | 5707882325 |
| NPI Enumeration Date: | 05/03/2016 |
| NPI Last Update Date: | 05/03/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | OS005335-L |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | PA |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |