Scranton Quincy Clinic Company LLC

NPI #1902183304 in Scranton, Pennsylvania

Provider Information

NPI Number: 1902183304
Entity Type: Organization
Organization Name: Scranton Quincy Clinic Company LLC
Primary Specialty: Podiatrist
Enumeration Date: Nov 14, 2011
Last Updated: Mar 22, 2012

Practice Location

Address: 748 QUINCY AVE
Address 2: SUITE 1A
City: Scranton
State: Pennsylvania
ZIP Code: 18510-1739
Phone: (570) 347-9600

Authorized Official

Name: DEBBIE THORN BREWER
Title: DIRECTOR
Phone: (877) 892-9813

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Podiatrist - Foot & Ankle Surgery — Foot & Ankle Surgery	213ES0103X
Podiatrist - Foot Surgery — Foot Surgery	213ES0131X
Podiatrist	213E00000X	Primary

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