Denver Family Practice | |
63 W Church St Stevens PA 17578-9203 | |
(717) 335-3311 | |
(717) 335-3315 |
Full Name | Denver Family Practice |
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Speciality | Family Medicine |
Location | 63 W Church St, Stevens, Pennsylvania |
Authorized Official Name and Position | Cynthia Malizia (VP OF NLCMG) |
Authorized Official Contact | 7177382280 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Denver Family Practice 63 W Church St Stevens PA 17578-9203 Ph: (717) 335-3311 | Denver Family Practice 63 W Church St Stevens PA 17578-9203 Ph: (717) 335-3311 |
NPI Number | 1285676817 |
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Provider Enumeration Date | 06/11/2006 |
Last Update Date | 03/12/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1285676817 | NPI | - | NPPES |
1013977730005 | Medicaid | PA | |
1746265 | Other | PA | BLUE SHIELD |
DD6938 | Other | PA | RAILROAD MEDICARE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 193400000X (Pennsylvania) | Primary |