Organization
STALWART EMERGENCY PHYSICIANS, PPLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RUSSELL HARRIS M.D. (OFFICER)
(469) 401-2386
Entity
Organization
Contact information
Practice address
215 E WATER ST, MUNCY, PA 17756-8828
(469) 401-2386
Mailing address
PO BOX 80043, PHILADELPHIA, PA 19101-1043
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
10/29/2015
Last updated
10/29/2015
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