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NPI Code Detail

MEDICARE: DR. GORDON CARL HANDTE MD

MEDICARE:  DR. GORDON CARL HANDTE  MD
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
1207ZP0102XAnatomic Pathology & Clinical Pathology PhysicianMD033454EPA

General Provider Information

NPI Number : 1750363420
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GORDON CARL HANDTE MD
Provider Business Mailing Address
First Line : PO BOX 197
Second Line :
City : STATE COLLEGE
State : PA
Zip : 16804-0197
Country : US
Telephone Number : 814-235-1205
Fax Number : 814-235-1566
Provider Business Practice Location Address
First Line : 1800 E PARK AVE
Second Line :
City : STATE COLLEGE
State : PA
Zip : 16803-6701
Country : US
Telephone Number : 814-235-1205
Fax Number : 814-235-1566
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/17/2005
Last Update Date : 07/08/2007

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Directions to “ DR. GORDON CARL HANDTE MD” Practice Location

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