Organization
SAM'S CLUB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVE OXFORD (GENERAL MANAGER)
(570) 546-6699
Entity
Organization
Contact information
Practice address
611 LYCOMING MALL CIR, MUNCY, PA 17756-1826
(570) 308-3111
Mailing address
611 LYCOMING MALL CIR, MUNCY, PA 17756-1826
(570) 308-3111
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
F03523
PA
Other
Enumeration date
01/07/2014
Last updated
01/07/2014
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