Provider Demographics
NPI:1497700645
Name:TURGEON, ALLISON R (PAC)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:R
Last Name:TURGEON
Suffix:
Gender:F
Credentials:PAC
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:R
Other - Last Name:GRAHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PAC
Mailing Address - Street 1:540 SOUTH ST
Mailing Address - Street 2:SUITE 204
Mailing Address - City:GREENSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:15601-2774
Mailing Address - Country:US
Mailing Address - Phone:724-832-9611
Mailing Address - Fax:724-832-9623
Practice Address - Street 1:540 SOUTH ST
Practice Address - Street 2:SUITE 204
Practice Address - City:GREENSBURG
Practice Address - State:PA
Practice Address - Zip Code:15601-2774
Practice Address - Country:US
Practice Address - Phone:724-832-9611
Practice Address - Fax:724-832-9623
Is Sole Proprietor?:No
Enumeration Date:2006-05-24
Last Update Date:2011-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA050664208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001195855Medicaid
1783360OtherHIGHMARK
Q55962Medicare UPIN
PA001195855Medicaid
PA095666RAZMedicare PIN