Provider Demographics
NPI:1386603298
Name:HULL, DONALD F III (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:F
Last Name:HULL
Suffix:III
Gender:M
Credentials:MD
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Mailing Address - Street 1:100 N ACADEMY AVE
Mailing Address - Street 2:
Mailing Address - City:DANVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:17822-3034
Mailing Address - Country:US
Mailing Address - Phone:570-271-6144
Mailing Address - Fax:570-271-6578
Practice Address - Street 1:110 TRIEBLE RD
Practice Address - Street 2:
Practice Address - City:TUNKHANNOCK
Practice Address - State:PA
Practice Address - Zip Code:18657
Practice Address - Country:US
Practice Address - Phone:570-996-2700
Practice Address - Fax:570-996-2711
Is Sole Proprietor?:No
Enumeration Date:2006-03-20
Last Update Date:2008-05-19
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
PAMD038607E208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001093588Medicaid
PA001093588Medicaid
C31845Medicare UPIN