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Organization

SCRANTON QUINCY CLINIC COMPANY LLC

Active
Other names
Physicians Health Alliance
Organization subpart
No

Provider details

NPI number
Authorized official
DEBBIE THORN BREWER (DIRECTOR)
(877) 892-9813
Entity
Organization

Contact information

Practice address
748 QUINCY AVE, SUITE 1A, SCRANTON, PA 18510-1739
(570) 347-9600
(570) 342-0681
Mailing address
PO BOX 689022, FRANKLIN, TN 37068-9022
(877) 309-5312
(615) 465-2877

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
213ES0103X
Foot & Ankle Surgery Podiatrist
213ES0131X
Foot Surgery Podiatrist

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
102669377-0002
PA
Enumeration date
11/14/2011
Last updated
03/22/2012
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