NPI | 1295834984 |
---|---|
Doing Business As | WELLSPAN FAMILY MEDICINE |
Entity Type | Organization |
Authorized Contact | KENDRA A AUCKER Senior Vice President/President 570-522-2807 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
208000000X Pediatrics | |
Enumeration Date | 2006-09-21 |
Last Update Date | 2024-09-06 |