Healthcare Provider Details

I. General information

NPI: 1083932545
Provider Name (Legal Business Name): MR. DAVID M MAIER
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/08/2010
Last Update Date: 05/08/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 CLEARVIEW CIR
BUTLER PA
16001-1576
US

IV. Provider business mailing address

107 MAPLEWOOD DR
BUTLER PA
16001-9682
US

V. Phone/Fax

Practice location:
  • Phone: 724-282-8113
  • Fax:
Mailing address:
  • Phone: 724-282-2284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code183500000X
TaxonomyPharmacist
License NumberRP038337L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: