Organization
MEDICAL ATHLETIC CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN OWENS (PRESIDENT)
(717) 767-4151
Entity
Organization
Contact information
Practice address
1785 LOUCKS RD, YORK, PA 17408-9710
(717) 767-4151
(717) 767-2023
Mailing address
2320 STONEY POINT RD, EAST BERLIN, PA 17316-9710
(717) 767-4151
(717) 767-2023
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
PAMD06549L
PA
Other
Enumeration date
03/13/2013
Last updated
03/13/2013
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