Healthcare Provider Details

I. General information

NPI: 1699756841
Provider Name (Legal Business Name): PIERRE-ALAIN L DAUBY MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/07/2005
Last Update Date: 10/31/2023
Certification Date: 10/31/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4212 OLD WILLIAM PENN HWY
MURRYSVILLE PA
15668-1901
US

IV. Provider business mailing address

PO BOX 603725
CHARLOTTE NC
28260-3725
US

V. Phone/Fax

Practice location:
  • Phone: 724-837-4070
  • Fax: 724-837-8836
Mailing address:
  • Phone: 828-575-2625
  • Fax: 828-350-2174

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207KA0200X
TaxonomyAllergy Physician
License Number903095
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code207K00000X
TaxonomyAllergy & Immunology Physician
License NumberMD066918L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: