The Pennsylvania State University

Orthopedic Surgery · University Park, PA

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At a glance

408 Old Main, University Park, PA 16802-1505

NPPES record updated Feb 27, 2024. Public records can lag behind changes at a practice.

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Practice location

408 Old Main
University Park, PA 16802-1505
Professional details: NPI, taxonomy & registry record
NPI1861949869
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Registry details

Primary taxonomy
Orthopedic Surgery
Taxonomy code
207X00000X
Enumeration date
Sep 7, 2016
Record updated
Feb 27, 2024
More registry details
Provider type
Organization · Type 2
Other reported name
<UNAVAIL>

Reported taxonomies and licenses

Orthopedic Surgery

207X00000X · Primary

License reported: MD062970L PA

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

408 Old Main
University Park, PA 16802-1505
Phone
(814) 865-4700
Mailing address
5050 SPRING VALLEY RD.

DALLAS, TX 752443909
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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