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1184079105
PENNSYLVANIA PHYSICIAN SERVICES, LLC
SCRANTON, PA
NPI
1184079105
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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
2016-04-27
Last Update Date
2020-02-05
Business Address
PENNSYLVANIA PHYSICIAN SERVICES, LLC
746 JEFFERSON AVE
SCRANTON, PA 18510-1624
Phone number: 570-348-7100
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Mailing Address
PENNSYLVANIA PHYSICIAN SERVICES, LLC
5665 NEW NORTHSIDE DR SUITE 320
ATLANTA, GA 30328-5831
Phone number: 770-874-5400
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