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Organization
SAMUEL E SCHRACK, D.O., P.C.
Active
Organization
SAMUEL E SCHRACK, D.O., P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LISA R MILLER (OFFICE MANAGER)
(570) 327-9110
Entity
Organization
Contact information
Practice address
520 W 4TH ST, SUITE 1A, WILLIAMSPORT, PA 17701-6038
(570) 327-9110
(570) 327-1181
Mailing address
520 W 4TH ST, SUITE 1A, WILLIAMSPORT, PA 17701-6038
(570) 327-9110
(570) 327-1181
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0019492200004
—
PA
Enumeration date
04/13/2006
Last updated
11/24/2009
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