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Organization
SCRANTON QUINCY CLINIC COMPANY LLC
Active
Organization
SCRANTON QUINCY CLINIC COMPANY LLC
Active
Other names
Physicians Health Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE THORN BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
748 QUINCY AVE, SUITE 1A, SCRANTON, PA 18510-1739
(570) 347-9600
(570) 342-0681
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(877) 309-5312
(615) 465-2877
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
—
—
213ES0103X
Foot & Ankle Surgery Podiatrist
—
—
213ES0131X
Foot Surgery Podiatrist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102669377-0002
—
PA
Enumeration date
11/14/2011
Last updated
03/22/2012
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