Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207L00000X | Anesthesiologist | 0101230285 | VA |
Y | 208D00000X | General Practice Physician | 0101230285 | VA |
NPI | 1043298441 |
---|---|
Provider Name | Dr. William Scott York |
First Address | Burkeville, VA 23922-2425 |
Second Address | Burkeville, VA 23922-2425 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/01/2006 |
Last Update Date | 19/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
1043298441 | (05) | VA |
H34243 | (02) |