Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD034939 | DC |
Y | 207XX0004X | Foot and Ankle Orthopaedic Surgeon | MD073243L | PA |
NPI | 1336149145 |
---|---|
Provider Name | Scott T Sauer |
First Address | Bethlehem, PA 18017-7307 |
Second Address | Bethlehem, PA 18017-7307 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 22/07/2005 |
Last Update Date | 24/04/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
10196377800001 | (05) | PA |
I10388 | (02) |