Pennsylvania Physician Services, LLC

NPI #1184079105 in Scranton, Pennsylvania

Provider Information

NPI Number: 1184079105
Entity Type: Organization
Organization Name: Pennsylvania Physician Services, LLC
Primary Specialty: Emergency Medicine
Enumeration Date: Apr 27, 2016
Last Updated: Feb 5, 2020

Practice Location

Address: 746 JEFFERSON AVE
City: Scranton
State: Pennsylvania
ZIP Code: 18510-1624
Phone: (570) 348-7100

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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