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1497059802
PENNSYLVANIA PHYSICIAN SERVICES, LLC
WILKES BARRE, PA
NPI
1497059802
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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
2010-12-28
Last Update Date
2020-02-05
Business Address
PENNSYLVANIA PHYSICIAN SERVICES, LLC
575 N RIVER ST
WILKES BARRE, PA 18764-0001
Phone number: 570-829-8111
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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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