| NPI | 1154594687 |
|---|---|
| Other Name | PHYSICIAN PROVIDERS |
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director Enrollments 570-271-6603 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208000000X Pediatrics |
| 2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
| 2086S0127X Surgery, Trauma Surgery | |
| Enumeration Date | 2008-04-04 |
| Last Update Date | 2023-03-10 |