Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHIRLEY PRASETYO BUNTORO, DO
Active Sole ProprietorSHIRLEY PRASETYO BUNTORO, DO is a Family Medicine healthcare provider located in SAYRE, Pennsylvania. NPI 1831727239 is currently active in the NPPES registry. Verify at CMS.
Family Medicine · SAYRE, PA
Registration Details
- NPI Number
- 1831727239
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Mar 31, 2020 (6.372563725662 yrs)
- Last Updated
- Jul 19, 2023
- License
-
U4752 (TX)
- Sole Proprietor
- Yes
Practice Information
- Address
-
1 GUTHRIE SQSAYRE, PA, 188401625Browse PA providers · Browse ZIP 18840
- Phone
- 5708873585
- Primary Specialty
-
Family Medicine
207Q00000X
- Additional Specialty
- Family Medicine
Other Family Medicine Providers in SAYRE, PA
| Name | Credential | NPI |
|---|---|---|
| KEVIN WAYNE OTT | D.O. | 1386646784 |
| DR. ROBERT T. MCCLELLAND | M.D. | 1568433043 |
| DR. FRANCIS GABRIEL BELARDI | MD | 1215909742 |
| DR. MARK JEFFREY COREY | MD | 1629042585 |
| DR. DONALD EDWARD PHYKITT | DO | 1295709970 |
| DR. FREDERICK J. BLOOM JR. | M.D. | 1932174315 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.