Individual
ALFRED KONOPKA BACHILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
1705 WARREN AVE, 303, WILLIAMSPORT, PA 17701-2665
(570) 326-8500
(570) 326-8049
Mailing address
1264 SNYDER AVE, SCRANTON, PA 18504-3186
(570) 903-0551
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS019620
PA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
08/28/2015
Last updated
12/20/2018
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