Darryl K. Guistwite, D.o. Inc. | |
56 Ashton St Carlisle PA 17015-6914 | |
(717) 609-2639 | |
(717) 258-3140 |
Full Name | Darryl K. Guistwite, D.o. Inc. |
---|---|
Speciality | Family Medicine |
Location | 56 Ashton St, Carlisle, Pennsylvania |
Authorized Official Name and Position | Darryl K Guistwite (OWNER) |
Authorized Official Contact | 7176092639 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Darryl K. Guistwite, D.o. Inc. 56 Ashton St Carlisle PA 17015-6914 Ph: (717) 609-2639 | Darryl K. Guistwite, D.o. Inc. 56 Ashton St Carlisle PA 17015-6914 Ph: (717) 609-2639 |
NPI Number | 1477740991 |
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Provider Enumeration Date | 09/28/2007 |
Last Update Date | 08/10/2009 |
Medicare PECOS PAC ID | 3173619897 |
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Medicare Enrollment ID | O20071011000030 |
Identifier | Type | State | Issuer |
---|---|---|---|
1477740991 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | OS010715L (Pennsylvania) | Primary |
Provider Name | Darryl K Guistwite |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1609816586 PECOS PAC ID: 3274628011 Enrollment ID: I20071009000202 |
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