Basic Information
| Provider Information | |||||||||
| NPI: | 1063827574 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | DRESCHER | ||||||||
| FirstName: | CHRISTOPHER | ||||||||
| MiddleName: | C. | ||||||||
| NamePrefix: | DR. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1 MELLON WAY | ||||||||
| Address2: | |||||||||
| City: | LATROBE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156501197 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245371207 | ||||||||
| FaxNumber: | 9073614847 | ||||||||
| Practice Location | |||||||||
| Address1: | 1 MELLON WAY | ||||||||
| Address2: | |||||||||
| City: | LATROBE | ||||||||
| State: | PA | ||||||||
| PostalCode: | 156501197 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7245371207 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/23/2014 | ||||||||
| LastUpdateDate: | 06/21/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/21/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | 0101259135 | VA | N | Allopathic & Osteopathic Physicians | Family Medicine | 207Q00000X | MT226335 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine | 208D00000X | 0101259135 | VA | N | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | General Practice | 390200000X | TX | N | Student, Health Care | Student in an Organized Health Care Education/Training Program |
No ID Information.