Russel Harry Etter in York - Family Medicine

Russel Harry Etter - NPI 1295774404

Russel Harry Etter is a Family Medicine in York, Pennsylvania. Russel Harry Etter practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Russel Harry Etter is 1295774404. The last update date is 2009-12-14.

Russel Harry Etter's current location address is 55 Wyntre Brooke Dr, York, Pennsylvania. You can contact this provider via phone number 7177413896 and fax number 7177415434. The mailing address for Russel Harry Etter is 55 Wyntre Brooke Dr, York, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Russel Harry Etter
Address 55 Wyntre Brooke Dr, York, Pennsylvania
Phone Number 7177413896
Fax Number 7177415434
Sole Proprietor Y
Credentials MD

NPI Number Detail

NPI Number 1295774404
Provider Enumeration Date 2006-06-05
Last Updated Date 2009-12-14

Provider Mailing Address Detail

Address 55 Wyntre Brooke Dr
City York
State Pennsylvania (PA)
Post Code 174034536
Phone Number 7177413896
Fax Number 7177415434

Provider's Primary Taxonomy Detail

Speciality Family Medicine
Taxonomy 207Q00000X
Licence No MD008050E
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
5977 PA AETNA
172355 PA HEALTHAMERICA
643575 PA --
18534 PA HIGHMARK BLUE SHIELD
3206000 PA CAPITAL BLUE CROSS

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FAQs about Russel Harry Etter

What is the unique 10-digit identifier code assigned to Russel Harry Etter by the Centers for Medicare & Medicaid Services?

The Russel Harry Etter has been issued the NPI (National Provider Identifier) 1295774404 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Where is the Russel Harry Etter located?

The Russel Harry Etter is located at 55 Wyntre Brooke Dr, York, PA 174034536.

What is Russel Harry Etter's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Russel Harry Etter is Family Medicine, and the corresponding taxonomy classification code for this specialized field is 207Q00000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1295774404 to Russel Harry Etter?

The Centers for Medicare & Medicaid Services assigned the 1295774404 to Russel Harry Etter on 2006-06-05.

As of what date was the information regarding Russel Harry Etter, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Russel Harry Etter, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-12-14.

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