Organization
SCRANTON QUINCY CLINIC COMPANY LLC
Active
Other names
Physicians Heatlh Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE THORN BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization
Contact information
Practice address
748 QUINCY AVE, SUITE 1A, SCRANTON, PA 18510-1739
(570) 342-5253
(570) 342-6038
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(877) 309-5312
(615) 465-2877
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102669377-0003
—
PA
Enumeration date
11/14/2011
Last updated
03/22/2012
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