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3301 Trindle Rd Camp Hill PA 17011-4413 | |
(717) 412-7859 | |
(717) 965-3214 |
Full Name | |
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Speciality | Family Medicine |
Location | 3301 Trindle Rd, Camp Hill, Pennsylvania |
Authorized Official Name and Position | William H Pugh (SENIOR VP) |
Authorized Official Contact | 7172318245 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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409 South Seond Street Suite 2f Harrisburg PA 17104-1612 Ph: () - | 3301 Trindle Rd Camp Hill PA 17011-4413 Ph: (717) 412-7859 |
NPI Number | 1114333952 |
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Provider Enumeration Date | 07/01/2014 |
Last Update Date | 11/03/2016 |
Identifier | Type | State | Issuer |
---|---|---|---|
1114333952 | NPI | - | NPPES |
100766676 0064 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (Pennsylvania) | Primary |
363A00000X | Physician Assistant | (Pennsylvania) | Secondary |
363L00000X | Nurse Practitioner | (Pennsylvania) | Secondary |
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