Organization
SHARON REGIONAL PHYSICIAN SERVICES
Active
Other names
SRPS- BREAST CARE CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
LAURA GRAVES (DIRECTOR OF PHYSICIAN SERVICES)
(724) 813-8224
Entity
Organization
Contact information
Practice address
2435 GARDEN WAY, HERMITAGE, PA 16148-5211
(724) 983-5492
(724) 983-5950
Mailing address
PO BOX 1004, HERMITAGE, PA 16148-0004
(724) 347-0861
(724) 347-0864
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD065330L
PA
Other
Enumeration date
09/28/2007
Last updated
12/13/2007
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