| Premise Health Of Pennsylvania Medical, P.c | |
|
1201 Keystone Blvd Pottsville PA 17901-8982 | |
| (570) 544-1633 | |
| (570) 544-9872 |
| Full Name | Premise Health Of Pennsylvania Medical, P.c |
|---|---|
| Speciality | Clinic/center - Multi-specialty |
| Location | 1201 Keystone Blvd, Pottsville, Pennsylvania |
| Authorized Official Name and Position | Jon Leizman (PRESIDENT) |
| Authorized Official Contact | 2164799063 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Premise Health Of Pennsylvania Medical, P.c 5500 Maryland Way Ste 120 Brentwood TN 37027-4993 Ph: () - | Premise Health Of Pennsylvania Medical, P.c 1201 Keystone Blvd Pottsville PA 17901-8982 Ph: (570) 544-1633 |
| NPI Number | 1174959316 |
|---|---|
| Provider Enumeration Date | 09/19/2013 |
| Last Update Date | 08/15/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174959316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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