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NPI Code Detail

MEDICARE: DR. DONALD R. SHOENTHAL

MEDICARE: DR. DONALD R. SHOENTHAL
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Q00000XFamily Medicine PhysicianMD043796EPA

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
2080076238OTHERPARR MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1073588109
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. DONALD R. SHOENTHAL
Provider Business Mailing Address
First Line : 203 HUCH FARM RD
Second Line :
City : MARS
State : PA
Zip : 16046-3635
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1020 CENTER AVE
Second Line :
City : PITTSBURGH
State : PA
Zip : 15229-1724
Country : US
Telephone Number : 412-931-3066
Fax Number : 412-931-2464
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/22/2006
Last Update Date : 04/22/2008

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