Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XS0114X | Adult Reconstructive Orthopaedic Surgeon | D0075065 | MD |
NPI | 1104007079 |
---|---|
Provider Name | Dr. Robert Paxton Mckinstry |
First Address | Baltimore, MD 21218-2829 |
Second Address | Baltimore, MD 21218-2867 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/11/2007 |
Last Update Date | 22/07/2016 |