Individual
DR. JEFFREY W DAVID
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
500 MEDICAL ARTS BLDG, SUITE 540, KITTANNING, PA 16201-7137
(724) 543-8378
(724) 543-8379
Mailing address
PO BOX 579, KITTANNING, PA 16201-0579
(724) 543-8164
(724) 543-8616
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
MD036530E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010551750001
—
PA
01
—
1014107
GATEWAY ID NUMBER
PA
01
—
104157
UPMC ID NUMBER
PA
01
—
DA425653
BLUE SHIELD ID NUMBER
PA
01
—
MD036530E
PA STATE LICENSE
PA
Enumeration date
02/16/2007
Last updated
07/08/2007
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