Individual
COLT BRACKBILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
21 GEISINGER LN, LEWISTOWN, PA 17044-3400
(717) 242-4200
(717) 242-4212
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
OA004574
PA
363A00000X
Physician Assistant
Primary
OA004574
PA
Other
Enumeration date
08/21/2018
Last updated
08/30/2020
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