Doctor Name: | MR. DONALD RYAN GECI |
NPI Number: | 1033551361 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | MA056261 |
Business Practice Address: | 761 Johnsonburg Rd Suite 310 Saint Marys, PA - 158573483 |
Business Phone Number: | 8148347686 |
Business Fax Number: | 8148346291 |
Mailing Address: | 761 Johnsonburg Rd, Suite 310 SAINT MARYS |
State: | PA |
Postal Code: | 158573483 |
Phone Number: | 8148347686 |
Fax Number: | 8148346291 |
NPI Enumeration Date: | 07/29/2013 |
NPI Last Update Date: | 09/17/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AS0400X |
License Number: | MA056261 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Surgical |
Taxonomy Definition: |