Glen Roy Daughtry in Harrisburg - Family Medicine
Glen Roy Daughtry - NPI 1578556551
Glen Roy Daughtry is a Family Medicine in Harrisburg, Pennsylvania. Glen Roy Daughtry practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Glen Roy Daughtry is 1578556551. The last update date is 2022-04-14.
Glen Roy Daughtry's current location address is 2850 Commerce Dr Ste 300, Harrisburg, Pennsylvania. You can contact this provider via phone number 7176571361 and fax number 7176575396. The mailing address for Glen Roy Daughtry is 2850 Commerce Dr Ste 300, Harrisburg, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glen Roy Daughtry |
|---|---|
| Address | 2850 Commerce Dr Ste 300, Harrisburg, Pennsylvania |
| Phone Number | 7176571361 |
| Fax Number | 7176575396 |
| Sole Proprietor | Y |
| Credentials | D.O. |
NPI Number Detail
| NPI Number | 1578556551 |
|---|---|
| Provider Enumeration Date | 2005-08-25 |
| Last Updated Date | 2022-04-14 |
Provider Mailing Address Detail
| Address | 2850 Commerce Dr Ste 300 |
|---|---|
| City | Harrisburg |
| State | Pennsylvania (PA) |
| Post Code | 171109383 |
| Phone Number | 7176571361 |
| Fax Number | 7176575396 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | OS006776E |
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Definition: Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine i |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 14956000003 | PA | -- |
Post Comment/ Review Below
What is the Glen Roy Daughtry's unique identification number?
The Glen Roy Daughtry has been assigned the NPI (National Provider Identifier) Number 1578556551 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Glen Roy Daughtry?
The Glen Roy Daughtry is situated at 2850 Commerce Dr Ste 300, in the city of Harrisburg, state of PA, with the zip code 171109383.
What is Glen Roy Daughtry's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Glen Roy Daughtry's specialized field of practice is Family Medicine, and the corresponding taxonomy code that categorizes this area of specialization is 207Q00000X.
When was the Glen Roy Daughtry's 1578556551 issued?
The Glen Roy Daughtry's 1578556551 was issued on 2005-08-25.
When was the information regarding Glen Roy Daughtry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Glen Roy Daughtry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-04-14.
NPI Number: 1528061710
Address: 19 Nh Route 104, Meredith, NH