Organization
SPIRIT PHYSICIAN SERVICES, INC.
Active
Other names
Broad Street Family Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
GERALD B OSMAN (VICE PRESIDENT - COO)
(717) 972-4480
Entity
Organization
Contact information
Practice address
211 BROAD ST, MARYSVILLE, PA 17053-1302
(717) 957-3500
(717) 957-4069
Mailing address
211 BROAD ST, MARYSVILLE, PA 17053-1302
(717) 957-3500
(717) 957-4069
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
—
—
Other
Enumeration date
12/09/2008
Last updated
12/09/2008
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