Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD041659-E | PA |
NPI | 1013089259 |
---|---|
Provider Name | Dr. David J. Stapor |
First Address | Jefferson, PA 15025 |
Second Address | Clairton, PA 15025-3747 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/11/2006 |
Last Update Date | 06/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
B40387 | (02) | PA |