Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | 07000332A | IN |
NPI | 1215930151 |
---|---|
Provider Name | Dr. David Andrew Pressley |
First Address | Terre Haute, IN 47803-2662 |
Second Address | Terre Haute, IN 47803-2662 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2005 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000000087083 | ANTHEM PROVIDER NUMBER (01) | IN |
T35107 | (02) | IN |