Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | SC005987 | PA |
NPI | 1073832382 |
---|---|
Provider Name | Michael R. Cashdollar |
First Address | Chambersburg, PA 17201-4232 |
Second Address | Chambersburg, PA 17201-1450 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/05/2010 |
Last Update Date | 19/03/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
103006790 | (05) | PA |