| Wellspan Family Medicine-roosevelt Avenue | |
|
1401 Roosevelt Ave York PA 17404-2244 | |
| (717) 812-7000 | |
| (717) 767-8985 |
| Full Name | Wellspan Family Medicine-roosevelt Avenue |
|---|---|
| Speciality | Family Medicine |
| Location | 1401 Roosevelt Ave, York, Pennsylvania |
| Authorized Official Name and Position | Amy F Wilkinson (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 7178511405 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Family Medicine-roosevelt Avenue 1803 Mount Rose Ave Ste B3 York PA 17403-3051 Ph: (717) 812-7000 | Wellspan Family Medicine-roosevelt Avenue 1401 Roosevelt Ave York PA 17404-2244 Ph: (717) 812-7000 |
| NPI Number | 1881020808 |
|---|---|
| Provider Enumeration Date | 09/23/2013 |
| Last Update Date | 01/10/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881020808 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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