Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MD474879 | PA |
NPI | 1013156587 |
---|---|
Provider Name | David N. Mccollum |
First Address | Lancaster, PA 17601-3555 |
Second Address | Lancaster, PA 17601-3555 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/02/2009 |
Last Update Date | 23/12/2021 |