Provider Demographics
NPI:1730615931
Name:MCFARLANE, DAVID JOHN (CO, CPED)
Entity type:Individual
Prefix:MR
First Name:DAVID
Middle Name:JOHN
Last Name:MCFARLANE
Suffix:
Gender:M
Credentials:CO, CPED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2631 HUNTERS POINT DR
Mailing Address - Street 2:
Mailing Address - City:WEXFORD
Mailing Address - State:PA
Mailing Address - Zip Code:15090-7635
Mailing Address - Country:US
Mailing Address - Phone:412-992-1028
Mailing Address - Fax:
Practice Address - Street 1:300 ALPHA DRIVE
Practice Address - Street 2:DE LA TORRE O @ P
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15238
Practice Address - Country:US
Practice Address - Phone:412-439-0066
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-08
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOH000057222Z00000X
PAPD000010224L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist
No224L00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPedorthist