Individual
LUIZ FELIPE GALVAO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
959 WYOMING AVE, SCRANTON PRIMARY HEALTH CARE CENTER, SCRANTON, PA 18509-3023
(570) 344-9684
(570) 969-0968
Mailing address
PO BOX 31, 959 WYOMING AVE, SCRANTON, PA 18501-0031
(570) 344-3517
(570) 344-6839
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD062166-L
PA
207R00000X
Internal Medicine Physician
MD062166L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000082714
MEDPLUS
PA
05
—
001652757
—
PA
01
—
959155
HIGHMARK
PA
Enumeration date
05/18/2006
Last updated
09/01/2009
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