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Organization
H.B.P.A. MEDICAL CLINIC
Active
Organization
H.B.P.A. MEDICAL CLINIC
Active
Other names
Jeanette Johnston H.B.P.A Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TODD MOSTOLLER (EXECUTIVE DIRECTOR)
(717) 469-2970
Entity
Organization
Contact information
Practice address
1111 FIRE HOUSE RD, GRANTVILLE, PA 17028
(717) 469-2970
(717) 469-7714
Mailing address
1111 FIREHOUSE RD., GRANTVILLE, PA 17028
(717) 469-2970
(717) 469-7714
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN163-298L
PA
207Q00000X
Family Medicine Physician
Primary
OS-006156-L
PA
Other
Enumeration date
05/14/2012
Last updated
05/14/2012
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