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NPI Code Detail

MEDICARE: DR. MARLYS J PIKE MD

MEDICARE: DR. MARLYS J PIKE MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207P00000XEmergency Medicine PhysicianMD072553LPA

General Provider Information

NPI Number : 1063552958
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. MARLYS J PIKE MD
Provider Business Mailing Address
First Line : 6481 CARLISLE PIKE
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2377
Country : US
Telephone Number : 717-796-9355
Fax Number : 717-620-8093
Provider Business Practice Location Address
First Line : 6481 CARLISLE PIKE
Second Line :
City : MECHANICSBURG
State : PA
Zip : 17050-2377
Country : US
Telephone Number : 717-796-9355
Fax Number : 717-620-8093
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/08/2007
Last Update Date : 09/01/2011

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