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1154720423
PENNSYLVANIA PHYSICIAN SERVICES, LLC
SCRANTON, PA
NPI
1154720423
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Entity Type
Organization
Authorized Contact
KIM H LARSEN
Director Of Credentialing
770-874-5400
Organization Subpart ?
No
Primary Taxonomy
207P00000X Emergency Medicine
Enumeration Date
2014-08-22
Last Update Date
2020-02-05
Business Address
PENNSYLVANIA PHYSICIAN SERVICES, LLC
700 QUINCY AVE
SCRANTON, PA 18510-1724
Phone number: 570-770-5000
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Mailing Address
PENNSYLVANIA PHYSICIAN SERVICES, LLC
PO BOX 21113
BELFAST, ME 04915-4108
Phone number: 770-874-5400
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