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Organization
HEALTH ACCESS NETWORK
Active
Organization
HEALTH ACCESS NETWORK
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRAD PRECHTL (PRESIDENT)
(610) 338-8386
Entity
Organization
Contact information
Practice address
196 W SPROUL RD, SUITE 110, SPRINGFIELD, PA 19064-2045
(610) 328-8830
(610) 328-8981
Mailing address
PO BOX 8500-6355, PHILADELPHIA, PA 19178-0001
(610) 497-7520
(610) 497-7525
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
914480
PA BLUE SHIELD GROUP
PA
Enumeration date
03/27/2007
Last updated
10/23/2007
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