NPI | 1326590290 |
---|---|
Former Legal Business Name | ST. CLAIR ORTHOPEDIC ASSOCIATES |
Doing Business As | ST. CLAIR MEDICAL GROUP ORTHOPEDIC SURGERY |
Entity Type | Organization |
Authorized Contact | PAMALYN PATNESKY Credentialing Coordinator 412-942-2548 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207X00000X Orthopaedic Surgery (Licence: PA 450501) |
Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery (Licence: PA 450501) |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2016-10-26 |
Last Update Date | 2021-10-05 |