IndividualActive
Glenn Stayer, M.D.
NPI 1447208459 · Neurology with Special Qualifications in Child Neurology Physician · Danville, PA
Provider details
- NPI number
- 1447208459
- Entity type
- Individual
- Primary specialty
- Neurology with Special Qualifications in Child Neurology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- MD038769E (PA)
Specialties & taxonomies
- Neurology with Special Qualifications in Child Neurology PhysicianPrimary2084N0402XLicense MD038769E (PA)
Allopathic & Osteopathic Physicians
Allopathic & Osteopathic Physicians
Practice location
100 N Academy Ave
Danville, PA 17822-1405
Phone: (570) 271-6012
Fax: (570) 271-9723
Approximate (ZIP-level) locationGet directions
Mailing address
100 N Academy Ave
Danville, PA 17822-4903
Registry dates
- Enumerated
- 2006-05-04
- Last updated
- 2020-08-12
- Certified
- 2020-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.