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Organization

SUSQUEHANNA PHYSICIAN SERVICES

Active
Other names
Susquehanna Health Medical Group
Organization subpart
No

Provider details

NPI number
Authorized official
MS. MELISSA DAVIS (VP/COO)
(570) 320-7696
Entity
Organization

Contact information

Practice address
740 HIGH ST, SUITE 3001, WILLIAMSPORT, PA 17701-3102
(570) 321-2805
(570) 321-2806
Mailing address
1201 GRAMPIAN BLVD, WILLIAMSPORT, PA 17701-1900

Taxonomy

Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
2086S0129X
Vascular Surgery Physician
Primary

Other

Enumeration date
06/16/2006
Last updated
09/23/2022
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