Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XX0005X | Sports Medicine Orthopaedic Surgeon | OS008464L | PA |
NPI | 1225098916 |
---|---|
Provider Name | Craig C Mckirgan |
First Address | Indiana, PA 15701-3674 |
Second Address | Indiana, PA 15701-3674 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 25/03/2006 |
Last Update Date | 25/04/2016 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0014692800001 | (05) | PA |
F84744 | (02) | PA |