| Organization Name: | MEDICAL ATHLETIC CENTER LLC |
| NPI Number: | 1699118430 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | KEVIN OWENS (OWNER) |
| Mailing Address: | 1785 Loucks Rd York |
| State: | PA US |
| Postal Code: | 174089710 |
| Phone Number: | 7177674151 |
| Fax Number: | 7177672023 |
| NPI Enumeration Date: | 04/11/2013 |
| NPI Last Update Date: | 06/06/2013 |
| Replacement NPI: | 0 |
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Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 208D00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Allopathic & Osteopathic Physicians |
| Taxonomy Classification: | General Practice |
| Taxonomy Specialization: | |
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