| NPI | 1669754099 |
|---|---|
| Doing Business As | ST. CLAIR MEDICAL GROUP COLORECTAL SURGERY |
| Former Legal Business Name | COLORECTAL SURGICAL ASSOCIATES |
| Entity Type | Organization |
| Authorized Contact | PAMALYN PATNESKY Credentialing Specialist 412-942-2548 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208C00000X Colon & Rectal Surgery |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2011-09-12 |
| Last Update Date | 2021-10-05 |