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Individual

DR. DAVID GORDON WASCHER

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
1905 MILL LN, WILLIAMSPORT, PA 17701-1527
(570) 326-3393
(570) 326-3324
Mailing address
1905 MILL LN, WILLIAMSPORT, PA 17701-1527
(570) 326-3393
(570) 326-3324

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC001320L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012948440001
PA
01
115649
BLUE SHIELD
PA
01
3509086182
RR MEDICARE
PA
01
806777
FIRST PRIORITY HEALTH
PA
Enumeration date
10/04/2005
Last updated
07/08/2007
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