AGUAVIVIR SC PC

STATE COLLEGE, PA
NPI1659017986
Entity TypeOrganization
Authorized ContactBRITTON PIM
CEO
281-295-4000
Organization Subpart ?No
Primary Taxonomy261QM1300X Clinic/Center Multi-Specialty
Enumeration Date2022-05-10
Last Update Date2024-05-06
Business Address
AGUAVIVIR SC PC
550 E COLLEGE AVE
STATE COLLEGE, PA 16801-5518
Phone number: 814-753-4265
Mailing Address
AGUAVIVIR SC PC
PO BOX 843125
KANSAS CITY, MO 64180-1083
Phone number: 814-753-4265
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