Samuel E Schrack, D.o., P.c. | |
520 W 4th St Suite 1a Williamsport PA 17701-6038 | |
(570) 327-9110 | |
(570) 327-1181 |
Full Name | Samuel E Schrack, D.o., P.c. |
---|---|
Speciality | Family Medicine |
Location | 520 W 4th St, Williamsport, Pennsylvania |
Authorized Official Name and Position | Lisa R Miller (OFFICE MANAGER) |
Authorized Official Contact | 5703279110 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Samuel E Schrack, D.o., P.c. 520 W 4th St Suite 1a Williamsport PA 17701-6038 Ph: (570) 327-9110 | Samuel E Schrack, D.o., P.c. 520 W 4th St Suite 1a Williamsport PA 17701-6038 Ph: (570) 327-9110 |
NPI Number | 1174587570 |
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Provider Enumeration Date | 04/13/2006 |
Last Update Date | 11/24/2009 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174587570 | NPI | - | NPPES |
0019492200004 | Medicaid | PA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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