Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | MD031699E | PA |
NPI | 1457388027 |
---|---|
Provider Name | Dr. Harry W Schmaltz |
First Address | Dickson City, PA 18519-1620 |
Second Address | Dickson City, PA 18519-1620 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
C29559 | (02) | PA |