Individual
DR. DAVID PAUL DEYSHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
954 ISABEL DR, LEBANON, PA 17042-7482
(717) 376-1180
(717) 273-6937
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 376-1180
(717) 273-6937
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
OS005373L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010798740005
—
PA
01
—
01554001
CAPITAL BLUE CROSS
—
01
—
105170
HIGHMARK BLUE SHIELD
—
01
—
1512967
GATEWAY HEALTH PLAN
—
Enumeration date
08/19/2005
Last updated
01/02/2018
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