Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0300X | Geriatric Medicine | MD065196L | PA |
NPI | 1073514121 |
---|---|
Provider Name | Dr. Zachary Weeder Simpson |
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 | 10/08/2005 |
Last Update Date | 09/11/2015 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
H25592 | (02) | PA |