Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | OS015247 | PA |
NPI | 1023212404 |
---|---|
Provider Name | Corey Schutt |
First Address | State College, PA 16801-7965 |
Second Address | Altoona, PA 16602-2416 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/06/2007 |
Last Update Date | 24/05/2021 |