# GEISINGER CLINIC

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

## Provider details

- **NPI number:** 1396796868
- **Authorized official:** CINDY L MULL (SYSTEM DIRECTOR ENROLLMENTS)
- **Authorized official phone:** (570) 271-6603

## Contact information

- **Practice address:** 100 ACADEMY AVE, DANVILLE, PA 17822
- **Practice address phone:** (570) 271-6211
- **Mailing address:** 100 N ACADEMY AVE, DANVILLE, PA 17822-3034

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207L00000X | Anesthesiology Physician | — | NULL | Yes |
| 207L00000X | Anesthesiology Physician | — | — | Yes |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LC0200X | Critical Care Medicine (Anesthesiology) Physician | — | — | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | NULL | — |
| 207LP2900X | Pain Medicine (Anesthesiology) Physician | — | — | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 05/12/2006
- **Last updated:** 04/09/2020