Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223X0400X | Orthodontists | DS018668L | PA |
NPI | 1033560800 |
---|---|
Provider Name | Edward Mcfarland III |
First Address | Pittsburgh, PA 15241-2906 |
Second Address | Pittsburgh, PA 15241-2906 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/06/2016 |
Last Update Date | 11/07/2016 |