| Wellspan Digestive Health Specialists | |
|
761 Norman Drive Lebanon PA 17042-7497 | |
| (717) 376-1180 | |
| (717) 376-1184 |
| Full Name | Wellspan Digestive Health Specialists |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 761 Norman Drive, Lebanon, Pennsylvania |
| Authorized Official Name and Position | Jody M Boger (CREDENTIALING COORDINATOR) |
| Authorized Official Contact | 7172707780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Wellspan Digestive Health Specialists Po Box 300 Lebanon PA 17042-0300 Ph: (717) 270-7780 | Wellspan Digestive Health Specialists 761 Norman Drive Lebanon PA 17042-7497 Ph: (717) 376-1180 |
| NPI Number | 1497021018 |
|---|---|
| Provider Enumeration Date | 03/28/2012 |
| Last Update Date | 10/05/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497021018 | NPI | - | NPPES |
| 001864024 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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