| NPI | 1073064796 |
|---|---|
| Doing Business As | WELLSPAN PEDIATRIC MEDICINE |
| Entity Type | Organization |
| Authorized Contact | BRENDA GIBBS Sr Credentialing Coordinator 717-851-1405 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2016-10-18 |
| Last Update Date | 2024-11-08 |