| Sps-peck Family Practice | |
|
904 Campbell St Suite 202 Williamsport PA 17701-3165 | |
| (570) 321-2290 | |
| (570) 321-2289 |
| Full Name | Sps-peck Family Practice |
|---|---|
| Speciality | Family Medicine |
| Location | 904 Campbell St, Williamsport, Pennsylvania |
| Authorized Official Name and Position | Charles Santangelo (EXECUTIVE VP/CFO) |
| Authorized Official Contact | 5703213171 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sps-peck Family Practice 1201 Grampian Blvd Po Box 3127 Williamsport PA 17701-0127 Ph: () - | Sps-peck Family Practice 904 Campbell St Suite 202 Williamsport PA 17701-3165 Ph: (570) 321-2290 |
| NPI Number | 1174570618 |
|---|---|
| Provider Enumeration Date | 05/30/2006 |
| Last Update Date | 07/29/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174570618 | NPI | - | NPPES |
| 0017300760203 | Medicaid | PA | |
| 880749 | Other | PA | HIGHMARK BLUE SHIELD |
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