Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | MD048092L | PA |
NPI | 1013912708 |
---|---|
Provider Name | John Steers |
First Address | Bryn Mawr, PA 19010-3231 |
Second Address | Bryn Mawr, PA 19010-3231 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/06/2005 |
Last Update Date | 05/04/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0017480700009 | (05) | PA |
0017480700016 | (05) | PA |
G23976 | (02) | PA |