Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM DIRECTOR ENROLLMENTS)
(570) 271-6603
Entity
Organization
Contact information
Practice address
200 SCENERY DRIVE, STATE COLLEGE, PA 16801
(814) 231-4560
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
Taxonomy
Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
862373
HIGHMARK BS
—
Enumeration date
07/06/2006
Last updated
04/09/2020
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