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NPI Code Detail

MEDICARE: SPRING ROAD FAMILY PRACTICE, INC.

MEDICARE: SPRING ROAD FAMILY PRACTICE, INC.
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
1207Q00000XFamily Medicine PhysicianPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1437358777
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPRING ROAD FAMILY PRACTICE, INC.
Provider Business Mailing Address
First Line : 1921 SPRING RD
Second Line :
City : CARLISLE
State : PA
Zip : 17013-1157
Country : US
Telephone Number : 717-243-5444
Fax Number : 717-243-8578
Provider Business Practice Location Address
First Line : 1921 SPRING RD
Second Line :
City : CARLISLE
State : PA
Zip : 17013-1157
Country : US
Telephone Number : 717-243-5444
Fax Number : 717-243-8578
Authorized Official
Title or Position : OFFICE MANAGER
Name : MRS. KATHY L BRIDGE
Credential :
Telephone Number : 717-226-9529
Provider Enumeration Date : 07/17/2007
Last Update Date : 01/27/2015

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Directions to “SPRING ROAD FAMILY PRACTICE, INC. ” Practice Location

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