Healthcare Provider Details

I. General information

NPI: 1760567028
Provider Name (Legal Business Name): WILLIAM RICHARD VOLLMAR II M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 11/02/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

734 N FRANKLIN ST
LANCASTER PA
17602-2176
US

IV. Provider business mailing address

734 N FRANKLIN ST
LANCASTER PA
17602-2176
US

V. Phone/Fax

Practice location:
  • Phone: 717-295-2323
  • Fax: 717-295-7294
Mailing address:
  • Phone: 717-295-2323
  • Fax: 717-295-7294

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207QS0010X
TaxonomySports Medicine (Family Medicine) Physician
License NumberMD045108L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: