Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208D00000X | General Practice Physician | MD019460E | PA |
NPI | 1043288939 |
---|---|
Provider Name | Dr. Donald Walter Hess |
First Address | Williamsport, PA 17701-1900 |
Second Address | Williamsport, PA 17701-1909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 08/03/2006 |
Last Update Date | 30/11/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1580888 | HIGHMARK BLUE SHIELD (01) | PA |
7244449 | AETNA (01) | PA |
818227 | FIRST PRIORITY HEALTH (01) | PA |
C28549 | (02) | |
C28549 | HEALTHAMERICA (01) | PA |