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NPI Code Detail

MEDICARE: SPIRIT PHYSICIAN SERVICES

MEDICARE: SPIRIT PHYSICIAN SERVICES
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
1367500000XCertified Registered Nurse Anesthetist

General Provider Information

NPI Number : 1548709934
Entity Type Code : Organization
Provider Name (Legal Business Name) : SPIRIT PHYSICIAN SERVICES
Provider Business Mailing Address
First Line : 100 N ACADEMY AVE
Second Line :
City : DANVILLE
State : PA
Zip : 17822-4903
Country : US
Telephone Number : 570-271-6144
Fax Number :
Provider Business Practice Location Address
First Line : 503 NORTH 21ST STREET
Second Line :
City : CAMP HILL
State : PA
Zip : 17011-8560
Country : US
Telephone Number : 717-763-2100
Fax Number :
Authorized Official
Title or Position : DIRECTOR REVENUE CYCLE
Name : CINDY MULL
Credential :
Telephone Number : 570-271-6144
Provider Enumeration Date : 02/17/2017
Last Update Date : 02/17/2017

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Directions to “SPIRIT PHYSICIAN SERVICES ” Practice Location

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