| Kenneth R Durrwachter Md Pc | |
|
1705 Warren Ave Suite 208 Williamsport PA 17701-2647 | |
| (570) 601-6230 | |
| (570) 601-6232 |
| Full Name | Kenneth R Durrwachter Md Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1705 Warren Ave, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Kenneth R Durrwachter (OWNER) |
| Authorized Official Contact | 5706016230 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kenneth R Durrwachter Md Pc 1705 Warren Ave Suite 208 Williamsport PA 17701-2647 Ph: () - | Kenneth R Durrwachter Md Pc 1705 Warren Ave Suite 208 Williamsport PA 17701-2647 Ph: (570) 601-6230 |
| NPI Number | 1275586281 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 01/13/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275586281 | NPI | - | NPPES |
| 1016212250001 | Medicaid | PA | |
| C253 | Other | PA | GEISINGER HEALTH PLAN |
| 1849658 | Other | PA | HIGHMARK BLUE SHIELD |
| 222566 | Other | PA | FIRST PRIORITY HEALTH |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD045039L (Pennsylvania) | Primary |
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