Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | OS010253L | PA |
NPI | 1326000340 |
---|---|
Provider Name | Dr. David R Sheba |
First Address | Uniontown, PA 15401-2677 |
Second Address | Uniontown, PA 15401-2677 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2006 |
Last Update Date | 09/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H83545 | (02) | PA |