Organization
MEDICAL ATHLETIC CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEVIN OWENS MD (OWNER)
(717) 767-4151
Entity
Organization
Contact information
Practice address
1785 LOUCKS RD, YORK, PA 17408-9710
(717) 767-4151
(717) 767-2023
Mailing address
1785 LOUCKS RD, YORK, PA 17408-9710
(717) 767-4151
(717) 767-2023
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/11/2013
Last updated
06/06/2013
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