Organization
HEIM STAFF PHYSICIANS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT BRACKBILL MD (PRESIDENT)
(610) 378-9449
Entity
Organization
Contact information
Practice address
1011 BERK RD, LEESPORT, PA 19533-8705
(610) 376-4841
Mailing address
602 WYOMISSING BLVD, WYOMISSING, PA 19610-2268
(610) 678-1887
Taxonomy
Speciality
Code
Description
License number
State
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009927090006
—
PA
05
—
0009927090009
—
PA
Enumeration date
03/26/2007
Last updated
03/14/2017
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