# SPIRIT PHYSICIAN SERVICES, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wound Care Services
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063803641
- **Authorized official:** PETER W DILLON (EX VICE PRES & CHIEF CLINICAL OFC)
- **Authorized official phone:** (717) 531-8066

## Contact information

- **Practice address:** 503 N 21ST ST, CAMP HILL, PA 17011-2204
- **Practice address phone:** (717) 763-2100
- **Mailing address:** 500 UNIVERSITY DRIVE, MAILCODE CA410, HERSHEY, PA 17033-2036
- **Mailing address phone:** (717) 531-1159
- **Mailing address fax:** (717) 531-0119

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207R00000X | Internal Medicine Physician | — | NULL | — |
| 207R00000X | Internal Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 02/18/2015
- **Last updated:** 12/30/2021