From The Heart Penn State

Specialty details in registry · Ebensburg, PA

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At a glance

2354 Colver Road, Ebensburg, PA 15931

NPPES record updated Jun 29, 2017. Public records can lag behind changes at a practice.

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Practice location

2354 Colver Road
Ebensburg, PA 15931

Professional details: NPI, taxonomy & registry record

NPI1245751288

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Registry details

Primary taxonomy: Specialty details in registry
Taxonomy code: 251E00000X
Enumeration date: Jun 29, 2017
Record updated: Jun 29, 2017

More registry details

Provider type: Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

251E00000X · Primary

License reported: 33633601 PA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2354 Colver Road
Ebensburg, PA 15931

Phone: (724) 509-5139
Fax: (724) 590-5148

Mailing address

2354 COLVER RD

EBENSBURG, PA 159316504

Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

Information may be outdated or incomplete. Confirm details directly with the practice. HCPList is an independent directory and is not affiliated with CMS.

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