Organization
GEISINGER CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CINDY L MULL (SYSTEM CREDENTIALING ENROLLMENTS)
(570) 271-6603
Entity
Organization
Contact information
Practice address
400 HIGHLAND AVE., LEWISTOWN, PA 17044
(717) 248-5411
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
—
—
2085R0204X
Vascular & Interventional Radiology Physician
—
—
2085U0001X
Diagnostic Ultrasound Physician
—
—
Other
Enumeration date
10/26/2016
Last updated
03/31/2020
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