Organization
SUSQUEHANNA PHYSICIAN SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA DAVIS (VP/COO)
(573) 326-8544
Entity
Organization
Contact information
Practice address
103 W 9TH ST, BERWICK, PA 18603-3024
(570) 759-1363
(570) 759-2070
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
—
—
Other
Enumeration date
12/02/2020
Last updated
12/02/2020
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