Primemed Medical Grp Olyphant In Collaboration W/geisinger Clinic | |
221 River St Olyphant PA 18447 | |
(570) 383-3636 | |
(570) 383-3639 |
Full Name | Primemed Medical Grp Olyphant In Collaboration W/geisinger Clinic |
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Speciality | Family Medicine |
Location | 221 River St, Olyphant, Pennsylvania |
Authorized Official Name and Position | Cindy L Mull (PROVIDER ENROLLMENT COORDINATOR) |
Authorized Official Contact | 5702715555 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Primemed Medical Grp Olyphant In Collaboration W/geisinger Clinic 100 N Academy Ave Danville PA 17822-4903 Ph: (570) 271-6144 | Primemed Medical Grp Olyphant In Collaboration W/geisinger Clinic 221 River St Olyphant PA 18447 Ph: (570) 383-3636 |
NPI Number | 1134536535 |
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Provider Enumeration Date | 07/17/2014 |
Last Update Date | 11/12/2014 |
Identifier | Type | State | Issuer |
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1134536535 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |