Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 111NN0400X | Neurology | 2003017100 | MO |
NPI | 1427164102 |
---|---|
Provider Name | Dr. Alan Singer |
First Address | Rolla, MO 65401-4600 |
Second Address | Rolla, MO 65401-4600 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 22/08/2006 |
Last Update Date | 27/03/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
23121 | (02) | MO |