Individual
DAVID JANSMA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 774-0232
(724) 770-7963
Mailing address
1000 DUTCH RIDGE RD, BEAVER, PA 15009-9727
(724) 774-0232
(724) 770-7963
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD042572L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012615850001
—
PA
05
—
0849890
—
OH
01
—
204242
UPMC
PA
01
—
677120
BLUE SHIELD
PA
Enumeration date
04/27/2006
Last updated
09/16/2015
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