Individual
DAVID MCINTYRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
700 QUINCY AVE, SCRANTON, PA 18510-1724
(570) 340-2977
Mailing address
PO BOX 390, SCRANTON, PA 18501-0390
(570) 647-4381
(770) 666-9078
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN533218
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00979467
RR MEDICARE
PA
Enumeration date
06/22/2006
Last updated
06/20/2012
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