Individual
MR. DONALD H. JARVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
C.R.N.A.
Contact information
Practice address
1280 BROADCASTING RD, WYOMISSING, PA 19610-3203
(610) 736-9909
Mailing address
1122 STREET RD, STE 204, SOUTHAMPTON, PA 18966-4218
(215) 949-3100
(215) 355-6304
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN193247L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
22-1994560
HEALTH NET TRICARE
PA
01
—
50077441
CAPITAL BLUE CROSS, KEYSTONE CENTRAL, SENIOR BLUE
PA
01
—
P00358889
RAILROAD MEDICARE
PA
Enumeration date
01/29/2007
Last updated
05/21/2018
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