Organization
VA MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRUCE R KNOWLES RRT (REGISTERED RESPIRATORY THERAPIST)
(570) 824-3521
Entity
Organization
Contact information
Practice address
1111 E. END BLVD, WILKES-BARRE, PA 18711
(570) 824-3521
Mailing address
5 CHERYL ST, PLAINS, PA 18705
(570) 829-1718
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
YM-003940-L
PA
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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