Daniel Ryan Freshour in Williamsport - Physician Assistant
Daniel Ryan Freshour - NPI 1558373571
Daniel Ryan Freshour is a Physician Assistant in Williamsport, Pennsylvania. Daniel Ryan Freshour practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Daniel Ryan Freshour is 1558373571. The last update date is 2020-08-31.
Daniel Ryan Freshour's current location address is 1824 E 3rd St, Williamsport, Pennsylvania. You can contact this provider via phone number 5706012200 and fax number 5706012202. The mailing address for Daniel Ryan Freshour is 1824 E 3rd St, Williamsport, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Ryan Freshour |
|---|---|
| Address | 1824 E 3rd St, Williamsport, Pennsylvania |
| Phone Number | 5706012200 |
| Fax Number | 5706012202 |
| Sole Proprietor | N |
| Credentials | P.A. |
NPI Number Detail
| NPI Number | 1558373571 |
|---|---|
| Provider Enumeration Date | 2006-08-12 |
| Last Updated Date | 2020-08-31 |
Provider Mailing Address Detail
| Address | 1824 E 3rd St |
|---|---|
| City | Williamsport |
| State | Pennsylvania (PA) |
| Post Code | 177013914 |
| Phone Number | 5706012200 |
| Fax Number | 5706012202 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA03259 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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What is the unique 10-digit identifier code assigned to Daniel Ryan Freshour by the Centers for Medicare & Medicaid Services?
The Daniel Ryan Freshour has been issued the NPI (National Provider Identifier) 1558373571 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Daniel Ryan Freshour is located?
The Daniel Ryan Freshour is situated at the following address: 1824 E 3Rd St, Williamsport, PA, 177013914.
What is Daniel Ryan Freshour's specialized field of practice, and what is the corresponding taxonomy classification code?
The Daniel Ryan Freshour's area of specialization is Physician Assistant, and the corresponding taxonomy code that categorizes this field of practice is 363A00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1558373571 to Daniel Ryan Freshour?
The Centers for Medicare & Medicaid Services originally issued the 1558373571 to Daniel Ryan Freshour on 2006-08-12.
As of what date were the details related to Daniel Ryan Freshour most recently updated or revised?
The information pertaining to Daniel Ryan Freshour, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-31.