Individual
JOSE LUIS MEJIA AGUIRRE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
804 GRANDVIEW DR STE 2, EPHRATA, PA 17522-1681
(717) 466-2500
(717) 733-7865
Mailing address
3421 CONCORD RD, YORK, PA 17402-9001
(717) 466-2500
(717) 733-7865
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
40571
TN
208600000X
Surgery Physician
Primary
MD470212
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
Q012133
—
TN
Enumeration date
07/07/2006
Last updated
06/22/2020
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