Geisinger Clinic

NPI #1245355478 in Montaintop, Pennsylvania

Provider Information

NPI Number: 1245355478
Entity Type: Organization
Organization Name: Geisinger Clinic
Primary Specialty: Pediatrics
Enumeration Date: Mar 20, 2007
Last Updated: Jun 30, 2008

Practice Location

Address: 12 KIRBY AVE
City: Montaintop
State: Pennsylvania
ZIP Code: 18707
Phone: (570) 474-5978

Authorized Official

Name: KENNETH HOLDREN
Title: CAO
Phone: (570) 271-5490

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Nurse Practitioner	363L00000X
Pediatrics	208000000X	Primary

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