Kenneth R Durrwachter Md Pc | |
1705 Warren Ave Suite 208 Williamsport PA 17701-2647 | |
(570) 601-6230 | |
(570) 601-6232 |
Full Name | Kenneth R Durrwachter Md Pc |
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Speciality | Family Medicine |
Location | 1705 Warren Ave, Williamsport, Pennsylvania |
Authorized Official Name and Position | Kenneth R Durrwachter (OWNER) |
Authorized Official Contact | 5706016230 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Kenneth R Durrwachter Md Pc 1705 Warren Ave Suite 208 Williamsport PA 17701-2647 Ph: () - | Kenneth R Durrwachter Md Pc 1705 Warren Ave Suite 208 Williamsport PA 17701-2647 Ph: (570) 601-6230 |
NPI Number | 1275586281 |
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Provider Enumeration Date | 05/19/2006 |
Last Update Date | 01/13/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1275586281 | NPI | - | NPPES |
1016212250001 | Medicaid | PA | |
C253 | Other | PA | GEISINGER HEALTH PLAN |
1849658 | Other | PA | HIGHMARK BLUE SHIELD |
222566 | Other | PA | FIRST PRIORITY HEALTH |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | MD045039L (Pennsylvania) | Primary |
Geisinger-hm Joint Venture, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 1824 E 3rd St, Williamsport, PA 17701 Phone: 570-601-2200 Fax: 570-601-2202 | |
Open Arms Internal Medicine & Pediatrics, Pc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 3155 Lycoming Creek Rd, Williamsport, PA 17701 Phone: 570-244-1877 | |