Healthcare Provider Details

I. General information

NPI: 1932174554
Provider Name (Legal Business Name): DEBORAH R MCCAHON D.O.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: DEBORAH M RUTTER D.O.

II. Dates (important events)

Enumeration Date: 02/17/2006
Last Update Date: 07/10/2023
Certification Date: 07/10/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2295 N SUSQUEHANNA TRL SUITE A
YORK PA
17404-8495
US

IV. Provider business mailing address

2295 N SUSQUEHANNA TRL SUITE A
YORK PA
17404-8495
US

V. Phone/Fax

Practice location:
  • Phone: 717-812-0731
  • Fax: 717-812-9848
Mailing address:
  • Phone: 717-812-0731
  • Fax: 717-812-9848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberOS009469L
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: