Organization Name: | PRIME MEDICAL GROUP PCG1 |
NPI Number: | 1386886539 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DARLA SETHMAN (PRACTICE ADMINISTRATOR) |
Mailing Address: | 1645 Rostraver Rd Suite 505 Belle Vernon |
State: | PA US |
Postal Code: | 150129655 |
Phone Number: | 7249294930 |
Fax Number: | 7249294308 |
NPI Enumeration Date: | 04/02/2009 |
NPI Last Update Date: | 04/02/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 207RC0000X |
License Number: | MD042211C |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Internal Medicine |
Taxonomy Specialization: | Cardiovascular Disease |
Taxonomy Definition: | An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |