Back Mountain Pediatrics
NPI #1063621233 in Dallas, Pennsylvania
Provider Information
- NPI Number
- 1063621233
- Entity Type
- Organization
- Organization Name
- Back Mountain Pediatrics
- Primary Specialty
- Pediatrics
- Enumeration Date
- May 22, 2007
- Last Updated
- Sep 11, 2025
Practice Location
- Address
- 550 MEMORIAL HIGHWAY
- City
- Dallas
- State
- Pennsylvania
- ZIP Code
- 18612
- Phone
- (570) 675-7955
Authorized Official
- Name
- DR. JOAN E GREULICK, MD
- Title
- OWNER
- Phone
- (570) 675-7955
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinical Medical Laboratory |
| Pediatrics |
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