Organization
PHOENIXVILLE CLINIC COMPANY LLC
Active
Parent organization
PHOENIXVILLE CLINIC COMPANY LLC
Other names
Phoenixville Family & Sports Medicine
Organization subpart
Yes
Provider details
NPI number
Legal business name
PHOENIXVILLE CLINIC COMPANY LLC
Authorized official
GARY CONNER (VP & CFO)
(484) 628-8181
Entity
Organization
Contact information
Practice address
300 SCHUYLKILL RD, PHOENIXVILLE, PA 19460
(610) 933-0294
Mailing address
PO BOX 13579, READING, PA 19612-3579
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
—
—
207V00000X
Obstetrics & Gynecology Physician
—
—
Other
Enumeration date
07/04/2006
Last updated
03/26/2019
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