Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0003X | Hematology & Oncology | MD070865L | PA |
NPI | 1073562351 |
---|---|
Provider Name | David F Claxton |
First Address | Hershey, PA 17033-0858 |
Second Address | Hershey, PA 17033 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/05/2006 |
Last Update Date | 17/07/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0018092380001 | (05) | PA |
E32928 | (02) |