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3 Dairyland Sq Red Lion PA 17356-1801 | |
(717) 246-2604 | |
(717) 246-9612 |
Full Name | |
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Speciality | Family Medicine |
Location | 3 Dairyland Sq, Red Lion, Pennsylvania |
Authorized Official Name and Position | Drake P Dehart (OWNER) |
Authorized Official Contact | 7172462604 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3 Dairyland Square Red Lion PA 17356 Ph: (717) 246-2604 | 3 Dairyland Sq Red Lion PA 17356-1801 Ph: (717) 246-2604 |
NPI Number | 1164570669 |
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Provider Enumeration Date | 01/08/2007 |
Last Update Date | 07/21/2008 |
Identifier | Type | State | Issuer |
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1164570669 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | OS004434L (Pennsylvania) | Primary |