| NPI | 1235565219 |
|---|---|
| Doing Business As | PRIMARY CARE NORTHSIDE |
| Entity Type | Organization |
| Authorized Contact | LYNN CHILTON Provider Credentialing Specialist 412-330-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2013-09-23 |
| Last Update Date | 2020-11-06 |