NPI | 1760086763 |
---|---|
Doing Business As | ST. CLAIR MEDICAL GROUP UROLOGY |
Former Legal Business Name | SCMS UROLOGY |
Entity Type | Organization |
Authorized Contact | PAMALYN PATNESKY Credentialing 412-942-2548 |
Organization Subpart ? | Yes |
Primary Taxonomy | 208800000X Urology |
Additional Taxonomies | 363A00000X Physician Assistant |
363AS0400X Physician Assistant, Surgical | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2020-11-30 |
Last Update Date | 2021-10-05 |