Individual
DONNA DATKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
400 HIGHLAND AVE., LEWISTOWN, PA 17044
(717) 242-7473
(717) 242-7478
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
OS008866L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
024458
MEDICARE NUMBER
PA
Enumeration date
12/14/2005
Last updated
12/23/2015
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