Susquehanna Physician Services

NPI #1073532107 in Muncy, Pennsylvania

Provider Information

NPI Number: 1073532107
Entity Type: Organization
Organization Name: Susquehanna Physician Services
Primary Specialty: Surgery
Enumeration Date: Jul 19, 2006
Last Updated: Apr 9, 2015

Practice Location

Address: 10 SHADY LN
Address 2: SUITE 201
City: Muncy
State: Pennsylvania
ZIP Code: 17756-8807
Phone: (570) 546-4185

Authorized Official

Name: MS. MELISSA DAVIS
Title: VP/COO
Phone: (570) 320-7696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Physician Assistant - Surgical — Surgical	363AS0400X
Surgery	208600000X	Primary

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