| NPI | 1073547733 |
|---|---|
| Doing Business As | WELLSPAN FAMILY MEDICINE - TROUT RUN |
| Entity Type | Organization |
| Authorized Contact | CHARLES DAVID NOLL Vice President 717-851-5161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2015-05-28 |