Organization
SURGICAL PHYSICIANS, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JACQUELYN S. FRAZIER (BILLING SUPERVISOR)
(717) 838-6462
Entity
Organization
Contact information
Practice address
891 S ARLINGTON AVE, HARRISBURG, PA 17109-5004
(717) 233-9093
(717) 233-6387
Mailing address
891 S ARLINGTON AVE, HARRISBURG, PA 17109-5004
(717) 233-9093
(717) 233-6387
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD044322L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0006589990002
—
PA
01
—
01076301
CAPITAL BLUE CROSS
PA
01
—
026072
HIGHMARK BLUE SHIELD
PA
Enumeration date
08/12/2006
Last updated
06/10/2009
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