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Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Urgent Care
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANN DIAZ (CREDENTIALING SUPERVISOR)
(717) 851-7134
Entity
Organization
Contact information
Practice address
2149 S QUEEN ST, YORK, PA 17403-4845
(717) 356-4460
(717) 260-3326
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 260-3326
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
—
—
207Q00000X
Family Medicine Physician
—
—
261QU0200X
Urgent Care Clinic/Center
Primary
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Enumeration date
07/22/2019
Last updated
07/22/2019
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