| NPI | 1447541164 |
|---|---|
| Doing Business As | WELLSPAN UROLOGY |
| Entity Type | Organization |
| Authorized Contact | LISSA N. HINCKLE Senior VP Of Physician Services 717-267-4839 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208800000X Urology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-04-28 |
| Last Update Date | 2020-06-02 |