Yellow Breeches Family Practice Center | |
1358 Lutztown Rd Boiling Springs PA 17007-9302 | |
(717) 258-3274 | |
(717) 258-0311 |
Full Name | Yellow Breeches Family Practice Center |
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Speciality | Family Medicine |
Location | 1358 Lutztown Rd, Boiling Springs, Pennsylvania |
Authorized Official Name and Position | Donald J Kovacs (PARTNER) |
Authorized Official Contact | 7172583274 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Yellow Breeches Family Practice Center 1358 Lutztown Rd Boiling Springs PA 17007-9302 Ph: (717) 258-3274 | Yellow Breeches Family Practice Center 1358 Lutztown Rd Boiling Springs PA 17007-9302 Ph: (717) 258-3274 |
NPI Number | 1356374037 |
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Provider Enumeration Date | 07/08/2006 |
Last Update Date | 06/16/2010 |
Identifier | Type | State | Issuer |
---|---|---|---|
1356374037 | NPI | - | NPPES |
153146 | Other | PA | MEDICARE GROUP NUMBER |
02483200 | Other | PA | CAPITAL BLUE CROSS |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |