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Geisinger Clinic

Urology in State College, PA. Organization (NPI-2).

NPI number1104878024
StatusActive
Last updated in NPPESSep 30, 2021

Details

NPI
1104878024
Entity type
Organization (NPI-2)
Legal business name
Geisinger Clinic
Organization subpart
No
Enumeration date
May 17, 2006
Certification date
Sep 30, 2021
Last updated
Sep 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
208800000X Urology––Yes
363A00000X Physician Assistant––
363L00000X Nurse Practitioner––

Practice location

200 Scenery Dr
State College, PA 16801-7974

Phone 814-231-4560

Mailing address

100 N Academy Ave
Danville, PA 17822-3034

Authorized official

Cindy L Mull
System Director
5702716603

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