Organization · Type 2 NPI
Wellspan Medical Group
Vascular & Interventional Radiology Physician · Ephrata, PA
NPI number
1114714722
Active
Practice location
169 Martin Ave
Ephrata, PA 17522-1734
Mailing address
601 Memory Ln
York, PA 17402-2231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Internal Medicine Physician | 207R00000X | None listed |
| Nuclear Medicine Physician | 207U00000X | None listed |
| Neuroradiology Physician | 2085N0700X | None listed |
| Radiation Oncology Physician | 2085R0001X | None listed |
| Diagnostic Radiology Physician | 2085R0202X | None listed |
| Therapeutic Radiology Physician | 2085R0203X | None listed |
| Vascular & Interventional Radiology Physician Primary | 2085R0204X | None listed |
| Physician Assistant | 363A00000X | None listed |
| Nurse Practitioner | 363L00000X | None listed |
Vascular & Interventional Radiology Physician: A radiologist who diagnoses and treats diseases by various radiologic imaging modalities. These include fluoroscopy, digital radiography, computed tomography, sonography and magnetic resonance imaging.
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About NPI 1114714722
Wellspan Medical Group's National Provider Identifier is 1114714722, issued on Apr 24, 2025. The primary taxonomy on file is Vascular & Interventional Radiology Physician (2085R0204X), and the practice location is in Ephrata, PA. The record was last updated on Apr 24, 2025.