NPI | 1285059618 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBRA LEONARD Credentialing Manager 412-885-2929 |
Organization Subpart ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: PA MD420553) |
Enumeration Date | 2014-02-21 |
Last Update Date | 2014-02-21 |