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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CHRISTINA VEST (CREDENTIALING SUPERVISOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
96 SOFIA DR STE 208, SHREWSBURY, PA 17361-5201
(717) 812-2400
(717) 812-3005
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 812-7278
(717) 812-7280
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/11/2014
Last updated
01/19/2018
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