Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RA0201X | Internist - Allergy & Immunology | MD020236E | PA |
NPI | 1629049804 |
---|---|
Provider Name | Guy E Mcelwain |
First Address | Meadowbrook, PA 19046-8004 |
Second Address | Meadowbrook, PA 19046-8004 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/01/2006 |
Last Update Date | 18/07/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0723667 | (05) | PA |
110041502 | RAILORAD MEDICARE (01) | PA |
C29257 | (02) | PA |