Organization
HR PHYSICIAN SERVICES
Active
Other names
HR Spine Care
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL R WAGNER (CHIEF FINANCIAL OFFICER)
(215) 914-1144
Entity
Organization
Contact information
Practice address
727 WELSH RD, SUITE 108, HUNTINGDON VALLEY, PA 19006-6310
(215) 914-2320
Mailing address
727 WELSH RD, STE 108, HUNTINGDON VALLEY, PA 19006-6310
(215) 914-2320
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
MD014442E
PA
Other
Enumeration date
12/17/2014
Last updated
12/22/2014
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