Geisinger Wyoming Valley
NPI #1912332511 in Forty Fort, Pennsylvania
Provider Information
- NPI Number
- 1912332511
- Entity Type
- Organization
- Organization Name
- Geisinger Wyoming Valley
- Primary Specialty
- Clinic/Center
- Enumeration Date
- Sep 13, 2013
- Last Updated
- Aug 5, 2021
Practice Location
- Address
- 190 WELLES ST
- Address 2
- STE 112-114
- City
- Forty Fort
- State
- Pennsylvania
- ZIP Code
- 18704-4968
- Phone
- (570) 714-1114
Authorized Official
- Name
- CINDY L MULL
- Title
- DIRECTOR
- Phone
- (570) 271-6603
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center |
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