Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223S0112X | Oral and Maxillofacial Surgeon | DS027539L | PA |
NPI | 1093856973 |
---|---|
Provider Name | William Robert Currie |
First Address | Carlisle, PA 17013-9129 |
Second Address | Carlisle, PA 17013-9129 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 12/02/2007 |
Last Update Date | 08/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0012404220003 | (05) | PA |
U27542 | (02) | PA |