Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD072798L | PA |
N | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD072798L | PA |
NPI | 1215998968 |
---|---|
Provider Name | Dr. David Raymond Maish |
First Address | Danville, PA 17822-4903 |
Second Address | Danville, PA 17822-1242 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/03/2006 |
Last Update Date | 21/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001898363 | (05) | PA |
0018986360003 | (05) | PA |
332282300 | (05) | MD |
H60049 | (02) |