NPI | 1215375415 |
---|---|
Entity Type | Organization |
Authorized Contact | KRISTYN BILLINGS Credentialing 412-655-4362 |
Organization Subpart ? | No |
Primary Taxonomy | 208D00000X General Practice |
Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
363LF0000X Nurse Practitioner, Family | |
335E00000X Prosthetic/Orthotic Supplier | |
Enumeration Date | 2013-06-10 |
Last Update Date | 2020-02-17 |