Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | MD062170L | PA |
NPI | 1013093863 |
---|---|
Provider Name | Harry Heasley Dinsmore JR. |
First Address | Danville, PA 17822-4903 |
Second Address | Lewistown, PA 17044-1369 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/10/2006 |
Last Update Date | 25/08/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
01648781 | (05) | PA |
19107 | PROVIDER ID (01) | PA |
G60469 | (02) |