institution
White Deer Run Llc
Clinic/Center in Williamsport, Pennsylvania
NPI 1053617118

White Deer Run Llc is a Clinic/Center based in Williamsport, PA. White Deer Run Llc practices in Williamsport, PA. The NPI Number for White Deer Run Llc is 1053617118 and holds a License No. 417040 (Pennsylvania).

The current practice location address for White Deer Run Llc is 520 W 4Th St, Williamsport, PA and can be reached out via phone at 570-322-4836 and via fax at 570-322-4769.

Location: 520 W 4Th St, Williamsport, PA, 17701-6038
institution
Provider Profile Details
NPI Number
1053617118
Provider Name
White Deer Run Llc
Credential
Provider Entity Type
Organization
Address
520 W 4Th St, Williamsport, PA, 17701-6038
Phone Number
570-322-4836
Fax Number
570-322-4769
Provider Enumeration Date
02/07/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1007567870061 05 PA
1007567870091 05 PA
institution
Provider Business Practice Location Address Details
Address
520 W 4Th St
City
State
Zip
17701-6038
Phone Number
570-322-4836
Fax Number
570-322-4769
person
Provider Business Mailing Address Details
Address
520 W 4Th St
City
State
Zip
17701-6038
Phone Number
570-322-4836
Fax Number
570-322-4769
person
Provider's Taxonomy Details 1
Type
Ambulatory Health Care Facilities
Classification
Clinic/Center
Speciality
-
Taxonomy
License No.
417040 (Pennsylvania)
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
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