Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2086X0206X | Surgical Oncologist | PA MD 0734497L | PA |
NPI | 1023037546 |
---|---|
Provider Name | Dr. Stacy L Krisher |
First Address | Bensalem, PA 19020-2071 |
Second Address | Bensalem, PA 19020-2071 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/07/2006 |
Last Update Date | 22/07/2009 |