Provider Demographics
NPI:1083710297
Name:SCHELL, GARY FRANKLIN (MD)
Entity Type:Individual
Prefix:
First Name:GARY
Middle Name:FRANKLIN
Last Name:SCHELL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 W NORTH HILLS PL
Mailing Address - Street 2:
Mailing Address - City:STATE COLLEGE
Mailing Address - State:PA
Mailing Address - Zip Code:16803-2919
Mailing Address - Country:US
Mailing Address - Phone:814-238-8880
Mailing Address - Fax:814-765-8499
Practice Address - Street 1:140 W NORTH HILLS PL
Practice Address - Street 2:
Practice Address - City:STATE COLLEGE
Practice Address - State:PA
Practice Address - Zip Code:16803-2919
Practice Address - Country:US
Practice Address - Phone:814-238-8880
Practice Address - Fax:814-765-8499
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD022046E207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine