Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207P00000X | Emergency Physician | 036106855 | IL |
Y | 207P00000X | Emergency Physician | MD437534 | PA |
NPI | 1003955741 |
---|---|
Provider Name | Christopher J Exner |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-3501 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2007 |
Last Update Date | 26/12/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
036106855 | (05) | IL |