Pennsylvania Physician Services, LLC

NPI #1154720423 in Scranton, Pennsylvania

Provider Information

NPI Number: 1154720423
Entity Type: Organization
Organization Name: Pennsylvania Physician Services, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Aug 22, 2014
Last Updated: Feb 5, 2020

Practice Location

Address: 700 QUINCY AVE
City: Scranton
State: Pennsylvania
ZIP Code: 18510-1724
Phone: (570) 770-5000

Authorized Official

Name: KIM H LARSEN
Title: DIRECTOR OF CREDENTIALING
Phone: (770) 874-5400

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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