Organization
SUSQUEHANNA PHYSICIAN SERVICES
Active
Other names
UPMC Imaging at Mansfield
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAVIS (PRESIDENT)
(570) 326-8544
Entity
Organization
Contact information
Practice address
416 S MAIN ST STE 3, MANSFIELD, PA 16933-1510
(570) 662-1910
(570) 662-1911
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
261QR0200X
Radiology Clinic/Center
Primary
—
—
Other
Enumeration date
05/09/2024
Last updated
05/09/2024
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