Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD015471E | PA |
NPI | 1093785917 |
---|---|
Provider Name | Stanley C Beachy |
First Address | Carlisle, PA 17015-7027 |
Second Address | Carlisle, PA 17015-7027 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/01/2006 |
Last Update Date | 11/02/2014 |