Healthcare Provider Details

I. General information

NPI: 1033134192
Provider Name (Legal Business Name): ALAN N ESPER DO
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/12/2006
Last Update Date: 04/29/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5473 VILLAGE COMMON DR SUITE 201
ERIE PA
16506-4961
US

IV. Provider business mailing address

5473 VILLAGE COMMON DR SUITE 201
ERIE PA
16506-4961
US

V. Phone/Fax

Practice location:
  • Phone: 814-835-9191
  • Fax: 814-835-3323
Mailing address:
  • Phone: 814-835-9191
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208600000X
TaxonomySurgery Physician
License NumberOS004681L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: