Provider Demographics
NPI:1508136805
Name:PALMER, WILLIAM EWING JR (M, D)
Entity Type:Individual
Prefix:DR
First Name:WILLIAM
Middle Name:EWING
Last Name:PALMER
Suffix:JR
Gender:M
Credentials:M, D
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2199 ROUTE 381
Mailing Address - Street 2:
Mailing Address - City:RECTOR
Mailing Address - State:PA
Mailing Address - Zip Code:15677-1609
Mailing Address - Country:US
Mailing Address - Phone:724-593-2216
Mailing Address - Fax:
Practice Address - Street 1:2199 ROUTE 381
Practice Address - Street 2:
Practice Address - City:RECTOR
Practice Address - State:PA
Practice Address - Zip Code:15677-1609
Practice Address - Country:US
Practice Address - Phone:724-593-2216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-04
Last Update Date:2012-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD026317L2085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology