Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213EP1101X | Primary Podiatric Medicine | SC004268L | PA |
NPI | 1154380558 |
---|---|
Provider Name | Louis Vernon Greer |
First Address | Harrisburg, PA 17112-2898 |
Second Address | Harrisburg, PA 17112-2898 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 23/03/2006 |
Last Update Date | 07/02/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0019428820002 | (05) | PA |
U67969 | (02) |