| Doctor Name: | MR. DAVID VANCHURE |
| NPI Number: | 1154307569 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PA-C |
| License Number: | PA.200031 |
| Business Practice Address: | 145 Hospital Ave Suite 311 Du Bois, PA - 158011462 |
| Business Phone Number: | 8005052101 |
| Business Fax Number: | 8142318569 |
| Mailing Address: | 101 Regent Ct, STATE COLLEGE |
| State: | PA |
| Postal Code: | 168017965 |
| Phone Number: | 8005052101 |
| Fax Number: | 8142318569 |
| NPI Enumeration Date: | 12/16/2005 |
| NPI Last Update Date: | 10/08/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 363AS0400X |
| License Number: | PA.200031 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | LA |
| Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
| Taxonomy Classification: | Physician Assistant |
| Taxonomy Specialization: | Surgical |
| Taxonomy Definition: | |