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Organization
SCRANTON QUINCY CLINIC COMPANY LLC
Active
Organization
SCRANTON QUINCY CLINIC COMPANY LLC
Active
Other names
Physicians Health Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE THORN BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
748 QUINCY AVE, SUITE 2A, SCRANTON, PA 18510-1739
(570) 961-0851
(570) 344-4285
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(877) 309-5312
(615) 465-2877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
NULL
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
NULL
207VG0400X
Gynecology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
NULL
363LF0000X
Family Nurse Practitioner
—
—
367A00000X
Advanced Practice Midwife
—
NULL
367A00000X
Advanced Practice Midwife
—
—
Other
Enumeration date
11/14/2011
Last updated
03/22/2012
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