Susquehanna Physician Services

NPI #1316975881 in Williamsport, Pennsylvania

Provider Information

NPI Number: 1316975881
Entity Type: Organization
Organization Name: Susquehanna Physician Services
Primary Specialty: Family Medicine
Enumeration Date: Jun 30, 2006
Last Updated: Oct 20, 2015

Practice Location

Address: 1205 GRAMPIAN BLVD
Address 2: SUITE 3C
City: Williamsport
State: Pennsylvania
ZIP Code: 17701-1970
Phone: (570) 320-7800

Authorized Official

Name: MS. MELISSA DAVIS
Title: VP/COO
Phone: (570) 320-7696

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Obstetrics & Gynecology	207V00000X
Physician Assistant - Medical — Medical	363AM0700X
Family Medicine	207Q00000X	Primary

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