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Individual

LARRY G SCHACHTER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
145 HOSPITAL AVE, SUITE 112, DU BOIS, PA 15801-1462
(814) 371-4361
(814) 371-4360
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 371-4361
(814) 371-4360

Taxonomy

Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD-040451-E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001114507
PA
Enumeration date
07/05/2006
Last updated
06/22/2011
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