Organization
DALLAS FAMILY PRACTICE, L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE E DURKIN D.O. (PRESIDENT)
(570) 675-2111
Entity
Organization
Contact information
Practice address
16 CHURCH ST, DALLAS, PA 18612-1136
(570) 675-2111
(570) 675-6545
Mailing address
16 CHURCH ST, DALLAS, PA 18612-1136
(570) 675-2111
(570) 675-6545
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001823531-0002
—
PA
01
—
78201
MED PLUS
PA
01
—
E160
GEISINGER HEALTH PLAN
PA
Enumeration date
03/20/2006
Last updated
01/25/2008
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