| NPI | 1619399805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEBRA LEONARD Credentialing Manager 412-279-4522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: PA MD420553) |
| Enumeration Date | 2014-01-08 |
| Last Update Date | 2014-01-08 |