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Organization
SPIRIT PHYSICIAN SERVICES, INC.
Active
Organization
SPIRIT PHYSICIAN SERVICES, INC.
Active
Other names
Yellow Breeches Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DONALD BRUCE HAGA (PRESIDENT)
(717) 972-4480
Entity
Organization
Contact information
Practice address
1358 LUTZTOWN RD, BOILING SPRINGS, PA 17007-9302
(717) 972-7917
(717) 972-4470
Mailing address
205 GRANDVIEW AVE, SUITE 210, CAMP HILL, PA 17011-1708
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/25/2014
Last updated
07/25/2014
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