Individual
DR. WINGROVE THEOPHILUS JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1020 THOMPSON ST, JERSEY SHORE, PA 17740-1729
(570) 398-1991
(570) 398-4607
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
41982
KY
207X00000X
Orthopaedic Surgery Physician
FJ0463365
PA
207X00000X
Orthopaedic Surgery Physician
Primary
MD448347
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7100104100
—
KY
Enumeration date
02/09/2007
Last updated
07/15/2025
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