Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207K00000X | Allergist & Immunologist | M6018 | TX |
Y | 2080P0201X | Pediatric Allergist | MD472873 | PA |
NPI | 1700913290 |
---|---|
Provider Name | Dr. David M Anmuth |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-4330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/02/2007 |
Last Update Date | 24/03/2021 |