NPI | 1578863833 |
---|---|
Doing Business As | BODYLOGICMD OF PITTSBURGH |
Entity Type | Organization |
Authorized Contact | KEITH WHARTON Director 866-441-0531 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: PA md033145e) |
Enumeration Date | 2010-11-02 |
Last Update Date | 2010-11-02 |