Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | MD043637L | PA |
Y | 208600000X | Surgeon | MD043637L | PA |
NPI | 1013981711 |
---|---|
Provider Name | Dr. Mark E. Armstrong |
First Address | Danville, PA 17822-3034 |
Second Address | Port Matilda, PA 16870-7153 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/02/2006 |
Last Update Date | 15/07/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
000141751 | (05) | PA |
F57366 | (02) |