Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Pediatric Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA GIBBS (SR CREDENTIALING COORDINATOR)
(717) 851-1405
Entity
Organization
Contact information
Practice address
2339 S GEORGE ST, YORK, PA 17403-5009
(717) 812-3040
(717) 812-3049
Mailing address
601 MEMORY LN, YORK, PA 17402-2231
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
—
—
Other
Enumeration date
10/18/2016
Last updated
01/23/2026
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