Organization
WEST GROVE PHYSICIAN SERVICES, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE WHITMAN D.O. (PRESIDENT)
(800) 893-9698
Entity
Organization
Contact information
Practice address
1015 W BALTIMORE PIKE, WEST GROVE, PA 19390-9459
(610) 869-1000
Mailing address
200 CORPORATE BLVD, LAFAYETTE, LA 70508-3870
Taxonomy
Speciality
Code
Description
License number
State
208M00000X
Hospitalist Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
01/28/2016
Last updated
01/28/2016
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