| NPI | 1316373467 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN CHILTON Provider Enrollment Specialist 412-330-5852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2013-09-20 |
| Last Update Date | 2020-11-06 |