| 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 |