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Organization

PENN STATE HEALTH MEDICAL GROUP, LLC

Active
Parent organization
PENN STATE HEALTH
Organization subpart
Yes

Provider details

NPI number
Legal business name
PENN STATE HEALTH
Authorized official
TRACY L MOYER-SWINKO (EX. VICE PRES, CHIEF FINANCIAL OFC)
(717) 531-8477
Entity
Organization

Contact information

Practice address
4520 UNION DEPOSIT RD, HARRISBURG, PA 17111-2910
(717) 531-4094
(717) 531-0136
Mailing address
PO BOX 825972, PHILADELPHIA, PA 19182-5972
(717) 531-4859
(717) 312-3104

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary

Other

Enumeration date
01/07/2019
Last updated
02/03/2026
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