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Organization

WELLSPAN MEDICAL GROUP

Active
Other names
WellSpan Spine Care
Organization subpart
No

Provider details

NPI number
Authorized official
CHRISTINA VEST (CREDENTIALING SUPERVISOR)
(717) 851-6928
Entity
Organization

Contact information

Practice address
4150 BARRETT BLVD, EPHRATA, PA 17522-8979
(717) 466-2505
(717) 466-2506
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 851-1566
(717) 812-3950

Taxonomy

Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary

Other

Enumeration date
10/10/2018
Last updated
10/10/2018
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