Individual
DR. DAMIAN MARK RISPOLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4230 CRUMS MILL RD., HARRISBURG, PA 17110-8853
(717) 233-6171
(717) 233-7880
Mailing address
100 N ACADEMY AVE, DANVILLE, PA 17822-4903
(570) 271-6144
(570) 271-6578
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
22964
WV
207X00000X
Orthopaedic Surgery Physician
MD435644
PA
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
55049
NC
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
MD435644
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
050918300
—
PA
05
—
102232400
—
PA
01
—
1578376
GATEWAY
PA
01
—
2073140
HIGHMARK BLUE SHIELD
PA
01
—
30112255
AMERIHEALTH MERCY-WMG WSO-G
PA
01
—
30112259
AMERIHEALTH MERCY-WMG WSO-Y
PA
01
—
418073
UPMC
PA
Enumeration date
11/01/2006
Last updated
02/22/2018
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