Wellspan Medical Group

NPI #1326116823 in Dallastown, Pennsylvania

Provider Information

NPI Number: 1326116823
Entity Type: Organization
Organization Name: Wellspan Medical Group
Primary Specialty: Family Medicine
Enumeration Date: Dec 1, 2006
Last Updated: Jan 11, 2018

Practice Location

Address: 755 S PLEASANT AVE
City: Dallastown
State: Pennsylvania
ZIP Code: 17313-9252
Phone: (717) 851-1300

Authorized Official

Name: MS. CHRISTINA VEST
Title: CREDENTIALING SUPERVISOR
Phone: (717) 851-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physician Assistant	363A00000X
Family Medicine	207Q00000X	Primary

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