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Organization
MAXIS MEDICAL SERVICES
Active
Organization
MAXIS MEDICAL SERVICES
Active
Other names
endless mountain medical clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MARY THERESA VAUTRINOT (PRESIDENT)
(570) 281-1001
Entity
Organization
Contact information
Practice address
MAIN STREET, CLIFFORD, PA 18413-0120
(570) 222-5200
(570) 222-5201
Mailing address
PO BOX 517, CARBONDALE, PA 18407-0517
(570) 281-1315
(570) 281-1256
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
OS008778L
PA
Other
Enumeration date
06/19/2007
Last updated
07/07/2008
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