Organization
WELLSPAN MEDICAL GROUP
Active
Organization
WELLSPAN MEDICAL GROUP
Active
Other names
WellSpan Diagnostic Support Specialists
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA FRANK (CREDENTIALING SUPERVISOR)
(717) 851-6832
Entity
Organization
Contact information
Practice address
175 MARTIN AVE STE 320, EPHRATA, PA 17522-1761
(717) 851-4440
(717) 461-7179
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1405
(717) 851-6969
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
—
—
Other
Enumeration date
12/29/2020
Last updated
12/29/2020
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