Organization
DOUGLAS A. SPOTTS, MD FAMILY MEDICAL CARE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS ALAN SPOTTS M.D. (OWNER)
(570) 524-5050
Entity
Organization
Contact information
Practice address
45 FORESTWOOD DR, LEWISBURG, PA 17837-6213
(570) 524-5050
(570) 524-5250
Mailing address
45 FORESTWOOD DR, LEWISBURG, PA 17837-6213
(570) 524-5050
(570) 524-5250
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD058238L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015761540005
—
PA
01
—
1475996
BLUE SHIELD
PA
01
—
20724
GHP
PA
01
—
210181
HEALTH AMERICA
PA
01
—
50016191
BLUE CROSS
PA
Enumeration date
11/01/2005
Last updated
08/22/2020
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