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Organization

SUSQUEHANNA PHYSICIAN SERVICES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELISSA DAVIS (PRESIDENT)
(570) 326-8544
Entity
Organization

Contact information

Practice address
2330 SAINT MARY ST W STE 1, LEWISBURG, PA 17837-8805
(570) 522-8637
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900

Taxonomy

Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary

Other

Enumeration date
11/03/2020
Last updated
01/23/2025
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