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Organization
SUSQUEHANNA PHYSICIAN SERVICES
Active
Organization
SUSQUEHANNA PHYSICIAN SERVICES
Active
Other names
UPMC Primary Care Williamsport
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAVIS (VP/COO)
(570) 326-8544
Entity
Organization
Contact information
Practice address
700 HIGH ST FL 9, WILLIAMSPORT, PA 17701-3100
(570) 321-2770
(570) 321-2771
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
09/22/2020
Last updated
09/22/2020
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