Mercy Group Practice LLC

NPI #1235466053 in Dickson City, Pennsylvania

Provider Information

NPI Number: 1235466053
Entity Type: Organization
Organization Name: Mercy Group Practice LLC
Subpart: Yes (part of a larger organization)
Parent Organization: MERCY GROUP PRACTICE LLC
Primary Specialty: Internal Medicine
Enumeration Date: Nov 16, 2009
Last Updated: Nov 16, 2009

Practice Location

Address: 312 BOULEVARD AVE
City: Dickson City
State: Pennsylvania
ZIP Code: 18519-1731
Phone: (570) 489-4567

Authorized Official

Name: STEPHEN H FRANKO
Title: CFO
Phone: (570) 348-7547

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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