Family Medicine at Spring Grove LLC
NPI #1164688131 in Spring Grove, Pennsylvania
Provider Information
- NPI Number
- 1164688131
- Entity Type
- Organization
- Organization Name
- Family Medicine at Spring Grove LLC
- Primary Specialty
- Family Medicine
- Enumeration Date
- Jul 30, 2008
- Last Updated
- Mar 24, 2009
Practice Location
- Address
- 24 ROTH'S CHURCH ROAD
- City
- Spring Grove
- State
- Pennsylvania
- ZIP Code
- 17362
- Phone
- (717) 739-8174
Authorized Official
- Name
- DR. NANCY ANN FAULKNER, MD
- Title
- PHYSICIAN, OWNER OF BUSINESS/LLC
- Phone
- (717) 739-8174
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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