# MEDICAL ATHLETIC CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265773410
- **Authorized official:** DR. KEVIN OWENS (PRESIDENT)
- **Authorized official phone:** (717) 767-4151

## Contact information

- **Practice address:** 1785 LOUCKS RD, YORK, PA 17408-9710
- **Practice address phone:** (717) 767-4151
- **Practice address fax:** (717) 767-2023
- **Mailing address:** 2320 STONEY POINT RD, EAST BERLIN, PA 17316-9710
- **Mailing address phone:** (717) 767-4151
- **Mailing address fax:** (717) 767-2023

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208D00000X | General Practice Physician | PAMD06549L | PA | Yes |

## Other

- **Enumeration date:** 03/13/2013
- **Last updated:** 03/13/2013