Organization
GEISINGER CLINIC
Active
Other names
PrimeMed Medical Grp Olyphant in collaboration w/Geisinger Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (PROVIDER ENROLLMENT COORDINATOR)
(570) 271-5555
Entity
Organization
Contact information
Practice address
221 RIVER ST, OLYPHANT, PA 18447
(570) 383-3636
(570) 383-3639
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
07/17/2014
Last updated
11/12/2014
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