Doctor Name: | MARK GINDLESPERGER |
NPI Number: | 1023309994 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | MA054862 |
Business Practice Address: | 800 Plaza Dr Suite 240 Belle Vernon, PA - 150124019 |
Business Phone Number: | 7243795802 |
Business Fax Number: | 7243795813 |
Mailing Address: | 800 Plaza Dr, Suite 240 BELLE VERNON |
State: | PA |
Postal Code: | 150124019 |
Phone Number: | 7243795802 |
Fax Number: | |
NPI Enumeration Date: | 04/27/2011 |
NPI Last Update Date: | 04/27/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA054862 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |