Individual
ISSEI KOMATSU
Active
Individual
ISSEI KOMATSU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
MD451574
PA
207X00000X
Orthopaedic Surgery Physician
Primary
MD61134797
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1029592230001
—
PA
01
—
3086526
HIGHMARK
PA
Enumeration date
08/02/2014
Last updated
08/19/2021
Update your record
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