Organization
PINNACLE HEALTH MEDICAL SERVICES
Active
Other names
PinnacleHealth Dermatology Associates
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM H PUGH (SENIOR VP)
(717) 231-8245
Entity
Organization
Contact information
Practice address
21 WATERFORD DR, MECHANICSBURG, PA 17050-8268
(717) 591-3630
(717) 591-3631
Mailing address
409 S 2ND ST, SUITE 2F, HARRISBURG, PA 17104-1612
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
—
PA
363A00000X
Physician Assistant
—
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100766676 0064
—
PA
Enumeration date
09/05/2013
Last updated
09/07/2016
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