Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0106X | Oral and Maxillofacial Pathology | DS022982L | PA |
NPI | 1437120771 |
---|---|
Provider Name | Dr. Michael P Eckhart |
First Address | Lancaster, PA 17603 |
Second Address | Lancaster, PA 17603 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/01/2006 |
Last Update Date | 08/07/2007 |