| NPI | 1003366345 |
|---|---|
| Former Legal Business Name | ALLEGHENY MEDICAL P.C. |
| Entity Type | Organization |
| Authorized Contact | GREGORY THOMAS SHANK Provider 412-494-4550 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163WG0000X Registered Nurse, General Practice |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2016-10-11 |