Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 2086S0129X | Vascular Surgeon | MD019220E | PA |
NPI | 1104894930 |
---|---|
Provider Name | Dr. William Richard Beltz |
First Address | Williamsport, PA 17701-1900 |
Second Address | Williamsport, PA 17701-1909 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/03/2006 |
Last Update Date | 19/10/2011 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
073991 | HIGHMARK BLUE SHIELD (01) | PA |
1009016270002 | (05) | PA |
119183 | UNITEDHEALTHCARE (01) | PA |
5246319 | AETNA (01) | PA |
818240 | FIRST PRIORITY HEALTH (01) | PA |
B35016 | (02) | |
B35016 | HEALTHAMERICA (01) | PA |