Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH HOLDREN (VP)
(570) 271-5555
Entity
Organization
Contact information
Practice address
113 N MARKET ST, SELINSGROVE, PA 17870-6060
(570) 374-9005
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-3034
(570) 271-5555
Taxonomy
Speciality
Code
Description
License number
State
2080A0000X
Pediatric Adolescent Medicine Physician
Primary
—
—
Other
Enumeration date
11/27/2007
Last updated
11/27/2007
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