Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207QS0010X | Family Doctor - Sports Medicine | OS015190 | PA |
NPI | 1275739161 |
---|---|
Provider Name | Shawn Craig Saylor |
First Address | Altoona, PA 16602-4472 |
Second Address | Altoona, PA 16602-4472 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 26/06/2007 |
Last Update Date | 08/07/2014 |