Basic Information
Provider Information
NPI: 1497710701
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: SMEAL
FirstName: WILLIAM
MiddleName: E
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1086 FRANKLIN ST
Address2:  
City: JOHNSTOWN
State: PA
PostalCode: 159054305
CountryCode: US
TelephoneNumber: 8144108300
FaxNumber: 8144108331
Practice Location
Address1: 1 TECH PARK DR
Address2:  
City: JOHNSTOWN
State: PA
PostalCode: 159012515
CountryCode: US
TelephoneNumber: 8145343850
FaxNumber: 8145343392
Other Information
ProviderEnumerationDate: 04/19/2006
LastUpdateDate: 04/22/2013
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207RC0000XMD029415EPAY Allopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease

No ID Information.


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