Organization Name: | JOHN A. SCANLAND DPMPC |
NPI Number: | 1245428549 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JOHN A. SCANLAND (PODIATRIST) |
Mailing Address: | 101 Main St Blakely |
State: | PA US |
Postal Code: | 184471266 |
Phone Number: | 5704894432 |
Fax Number: | 5704898083 |
NPI Enumeration Date: | 10/11/2007 |
NPI Last Update Date: | 04/24/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | SCOO2646L |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |