Tioga Health Care Providers INC 4

NPI #1548202971 in Wellsboro, Pennsylvania

Provider Information

NPI Number
1548202971
Entity Type
Organization
Organization Name
Tioga Health Care Providers INC 4
Subpart
Yes (part of a larger organization)
Parent Organization
LAUAREL HEALTH SYSTEM
Primary Specialty
Nurse Anesthetist, Certified Registered
Enumeration Date
Jun 11, 2006
Last Updated
Oct 2, 2007

Practice Location

Address
32-36 CENTRAL AVE
ZIP Code
16901-1840
Phone
(570) 723-7764

Authorized Official

Name
RONALD J BUTLER
Title
PRESIDENT
Phone
(570) 723-7764

Specialties & Taxonomy Codes

Specialty
Anesthesiology
Nurse Anesthetist, Certified Registered

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