MEDICARE: DAVID H. WARNER, D.P.M., II, LLC

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
1	213ES0103X	Foot & Ankle Surgery Podiatrist	SC002515L	PA

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	P00470859	OTHER	PA	RAILROAD MEDICARE

General Provider Information

NPI Number	:	1851570659
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAVID H. WARNER, D.P.M., II, LLC

Provider Business Mailing Address
First Line	:	198 S GREEN ST
Second Line	:
City	:	NAZARETH
State	:	PA
Zip	:	18064-2013
Country	:	US
Telephone Number	:	610-759-4555
Fax Number	:	610-759-2966

Provider Business Practice Location Address
First Line	:	198 S GREEN ST
Second Line	:
City	:	NAZARETH
State	:	PA
Zip	:	18064-2013
Country	:	US
Telephone Number	:	610-759-4555
Fax Number	:	610-759-2966

Authorized Official
Title or Position	:	OWNER
Name	:	DR. DAVID H WARNER
Credential	:	D.P.M.
Telephone Number	:	610-759-4555

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	08/05/2008

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