| Sps-west End Family Practice | |
|
2134 W 4th St Williamsport PA 17701-4344 | |
| (570) 321-9009 | |
| (570) 321-6761 |
| Full Name | Sps-west End Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 2134 W 4th St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Charles Santangelo (EXECUTIVE VP/CFO) |
| Authorized Official Contact | 5703213171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sps-west End Family Practice 1205 Grampian Blvd Po Box 3127 Williamsport PA 17701-1978 Ph: () - | Sps-west End Family Practice 2134 W 4th St Williamsport PA 17701-4344 Ph: (570) 321-9009 |
| NPI Number | 1780603837 |
|---|---|
| Provider Enumeration Date | 07/19/2006 |
| Last Update Date | 01/18/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780603837 | NPI | - | NPPES |
| 880576 | Other | PA | HIGHMARK BLUE SHIELD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
| 207VX0000X | Obstetrics & Gynecology - Obstetrics | (* (Not Available)) | Secondary |
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