Spirit Soaring Medical Pllc | |
2761 Johnson Hill Rd Swain NY 14884-9707 | |
(607) 564-8011 | |
Not Available |
Full Name | Spirit Soaring Medical Pllc |
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Speciality | Family Medicine |
Location | 2761 Johnson Hill Rd, Swain, New York |
Authorized Official Name and Position | Jacob Tallman (OWNER) |
Authorized Official Contact | 6075648011 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Spirit Soaring Medical Pllc 2761 Johnson Hill Rd Swain NY 14884-9707 Ph: (607) 564-8011 | Spirit Soaring Medical Pllc 2761 Johnson Hill Rd Swain NY 14884-9707 Ph: (607) 564-8011 |
NPI Number | 1639703192 |
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Provider Enumeration Date | 02/24/2020 |
Last Update Date | 02/24/2020 |
Identifier | Type | State | Issuer |
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1639703192 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |