Individual
MARTHA SHOWALTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
132 ABIGAIL LN, PORT MATILDA, PA 16870-7153
(800) 332-8901
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MT190064
PA
2085R0202X
Diagnostic Radiology Physician
Primary
MD445034
PA
Other
Enumeration date
05/29/2007
Last updated
08/17/2020
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