| NPI | 1740835560 |
|---|---|
| Doing Business As | WELLSPAN ONLINE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | JULIANN DIAZ Supervisor Of Credentialing 717-851-7134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2019-08-08 |