Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HOLDREN (CAO)
(570) 271-5490
Entity
Organization
Contact information
Practice address
40 DALLAS SHOPPING CTR, ROUTE 309, DALLAS, PA 18612-1231
(570) 675-0874
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207ZP0105X
Clinical Pathology/Laboratory Medicine Physician
—
—
2085R0202X
Diagnostic Radiology Physician
—
—
291U00000X
Clinical Medical Laboratory
—
PA
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
05/12/2006
Last updated
06/27/2008
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