Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213E00000X | Podiatrist | SC001591L | PA |
Y | 222Z00000X | Podiatrist | SC001591L | PA |
NPI | 1013017557 |
---|---|
Provider Name | Alan L Meshon |
First Address | Exton, PA 19341-2521 |
Second Address | Exton, PA 19341-2521 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 24/09/2006 |
Last Update Date | 02/09/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000506146 | (05) | PA |
T28637 | (02) | PA |