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Organization

SCRANTON CLINIC COMPANY LLC

Active
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Organization

SCRANTON CLINIC COMPANY LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE T BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization

Contact information

Practice address
746 JEFFERSON AVE, 3RD FLOOR, SCRANTON, PA 18510-1624
(570) 344-9457
(570) 343-3731
Mailing address
4000 MERIDIAN BLVD, FRANKLIN, TN 37067-6325
(877) 892-9813

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
—
208600000X
Surgery Physician
—
—

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102578488 0001
—
PA
Enumeration date
03/18/2011
Last updated
08/16/2011
About Stedi
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