Doctor Name: | DR. STEVEN MICHAEL HAWLEY |
NPI Number: | 1013228857 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC006201 |
Business Practice Address: | 699 Rural Ave Suite 103 Williamsport, PA - 177013251 |
Business Phone Number: | 5703207598 |
Business Fax Number: | 5703207599 |
Mailing Address: | 1201 Grampian Blvd, WILLIAMSPORT |
State: | PA |
Postal Code: | 177011900 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/26/2010 |
NPI Last Update Date: | 01/22/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC006201 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |