Individual
JOHN SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1238 BLOOM RD, DANVILLE, PA 17821-6765
(570) 284-7405
(833) 974-3566
Mailing address
1238 BLOOM RD, DANVILLE, PA 17821-6765
(570) 284-7405
(833) 974-3566
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
21686
MS
207R00000X
Internal Medicine Physician
Primary
MD435403
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
09889291
—
MS
05
—
1022785250001
—
PA
01
—
P01402430
RR MEDICARE
MS
Enumeration date
05/15/2007
Last updated
08/07/2024
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