Organization
PENN STATE HEALTH MEDICAL GROUP, LLC
Active
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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