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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. HEATHER MOURTACOS, DO

Active

DR. HEATHER MOURTACOS, DO is a Anesthesiology healthcare provider located in GROVE CITY, Pennsylvania. NPI 1063621290 is currently active in the NPPES registry. Verify at CMS.

Anesthesiology · GROVE CITY, PA

Registration Details

NPI Number
1063621290
Provider Type
Individual
Gender
Female
NPI Issued
May 22, 2007 (19.261046151259 yrs)
Last Updated
Aug 22, 2024
Licenses
34.012768CTR (OH)
OS013888 (PA)
34.012768CTR (OH)
OS013888 (PA)
OS013888 (PA)

Practice Information

Address
631 N BROAD STREET EXT
GROVE CITY, PA, 161274603
Browse PA providers · Browse ZIP 16127
Phone
7244507150
Primary Specialty
Anesthesiology
207L00000X
Additional Specialty
General Practice
Additional Specialty
General Practice
Additional Specialty
Anesthesiology

Other Anesthesiology Providers in GROVE CITY, PA

Name Credential NPI
TROY G ANDERSON D.O. 1962604728
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.