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808 Pleasantview Dr Ephrata PA 17522-1644 | |
(717) 733-9090 | |
(717) 733-8982 |
Full Name | |
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Speciality | Family Medicine |
Location | 808 Pleasantview Dr, Ephrata, Pennsylvania |
Authorized Official Name and Position | Christina Moon (SUPERVISOR-VERIFICATION SERVICES) |
Authorized Official Contact | 7178511405 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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3421 Concord Rd York PA 17402-9001 Ph: (717) 851-1405 | 808 Pleasantview Dr Ephrata PA 17522-1644 Ph: (717) 733-9090 |
NPI Number | 1124579651 |
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Provider Enumeration Date | 10/19/2016 |
Last Update Date | 10/19/2016 |
Identifier | Type | State | Issuer |
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1124579651 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |