Go Mobile Doctor | |
295 Jug Road Ext York PA 17404-1740 | |
(717) 676-3516 | |
Not Available |
Full Name | Go Mobile Doctor |
---|---|
Speciality | General Practice |
Location | 295 Jug Road Ext, York, Pennsylvania |
Authorized Official Name and Position | Daniel E Snyder (OWNER) |
Authorized Official Contact | 7176763516 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Go Mobile Doctor 295 Jug Rd York PA 17404-9736 Ph: (717) 676-3516 | Go Mobile Doctor 295 Jug Road Ext York PA 17404-1740 Ph: (717) 676-3516 |
NPI Number | 1376253450 |
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Provider Enumeration Date | 11/30/2022 |
Last Update Date | 03/21/2023 |
Medicare PECOS PAC ID | 9537534375 |
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Medicare Enrollment ID | O20230411000123 |
Identifier | Type | State | Issuer |
---|---|---|---|
1376253450 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
208D00000X | General Practice | (* (Not Available)) | Primary |
Provider Name | Christopher A Cooper |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1932511151 PECOS PAC ID: 0042519795 Enrollment ID: I20230411000486 |
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