Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DS-016722-L | PA |
NPI | 1063622868 |
---|---|
Provider Name | Dr. Richard Charles Howells |
First Address | Altoona, PA 16601-9330 |
Second Address | Altoona, PA 16601-9330 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/05/2007 |
Last Update Date | 08/07/2007 |