Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD021683E | PA |
NPI | 1174587711 |
---|---|
Provider Name | Richard C Pees |
First Address | Hershey, PA 17033-0854 |
Second Address | Hershey, PA 17033-2003 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/04/2006 |
Last Update Date | 04/12/2009 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0011370920005 | (05) | PA |
E64202 | (02) |