Doctor Name: | GARY MICHAEL DINCHER |
NPI Number: | 1053360172 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.M. |
License Number: | SC002714L |
Business Practice Address: | 445 River Ave Williamsport, PA - 177013722 |
Business Phone Number: | 5703267600 |
Business Fax Number: | 5703262550 |
Mailing Address: | 445 River Ave, WILLIAMSPORT |
State: | PA |
Postal Code: | 177013722 |
Phone Number: | 5703267600 |
Fax Number: | 5703262550 |
NPI Enumeration Date: | 05/08/2006 |
NPI Last Update Date: | 03/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SC002714L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |