Doctor Name: | DR. WILLIAM LORENZO MCGILL |
NPI Number: | 1083075154 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | |
Business Practice Address: | 1225 Warm Springs Ave Huntingdon, PA - 166522350 |
Business Phone Number: | 8146428463 |
Business Fax Number: | |
Mailing Address: | 348 Mcbath St, STATE COLLEGE |
State: | PA |
Postal Code: | 168012743 |
Phone Number: | 8143083854 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2016 |
NPI Last Update Date: | 06/07/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |