Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207W00000X | Ophthalmologist | MD036679E | PA |
NPI | 1003918475 |
---|---|
Provider Name | Randall R Peairs |
First Address | Scranton, PA 18503 |
Second Address | Scranton, PA 18503 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/09/2006 |
Last Update Date | 08/10/2019 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001230480 | (05) | PA |
079350 | FIRST PRIORITY HEALTH (01) | |
180018744 | RAILROAD MEDICARE (01) | |
34881 | GEISINGER HEALTH PLAN (01) | |
506554 | AETNA (01) | |
E40825 | (02) | |
PE599587 | HIGH MARK BLUE SHIELD (01) |