NPI 1558790691

Mary Jane Phipps

Practitioner Exclusive Provider Organization York, PA

Practice location

Address: 50 Wyntre Brooke Dr, York, PA 17403-4535
Phone: (717) 812-5626
Mailing address: 107 Pickett Rd, Dover, PA 17315-3125

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence MSG002348 (PA)

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Registry record

NPI: 1558790691
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2013
Record last updated: 8 Nov 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.