Organization
SCRANTON QUINCY CLINIC COMPANY LLC
Active
Other names
Physicians Health Alliance
Organization subpart
No
Provider details
NPI number
Authorized official
DEBBIE THORN BREWER (DIRECTOR)
(877) 892-9812
Entity
Organization
Contact information
Practice address
521 MT PLEASANT DR, SUITE 101, SCRANTON, PA 18503-1987
(570) 346-7338
(570) 341-3025
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(877) 309-5312
(615) 465-2877
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
—
207VG0400X
Gynecology Physician
—
—
363LF0000X
Family Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102669377-0004
—
PA
Enumeration date
11/14/2011
Last updated
03/22/2012
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