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Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Organization
EVANGELICAL MEDICAL SERVICES ORGANIZATION
Active
Other names
WellSpan Anesthesiology
Organization subpart
No
Provider details
NPI number
Authorized official
KENDRA A AUCKER (SENIOR VICE PRESIDENT/PRESIDENT)
(570) 522-2501
Entity
Organization
Contact information
Practice address
1 HOSPITAL DR, LEWISBURG, PA 17837-9350
(570) 522-2000
(570) 768-3911
Mailing address
1 HOSPITAL DR, SUITE 306, LEWISBURG, PA 17837-9350
(570) 522-4110
(570) 768-3911
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
PA
207L00000X
Anesthesiology Physician
Primary
—
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
PA
367500000X
Certified Registered Nurse Anesthetist
—
PA
Other
Enumeration date
10/06/2015
Last updated
09/09/2024
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