| NPI | 1821472812 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JANE WETZEL Provider Credentialing Specialist 412-330-5233 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NS0135X Dermatology Procedural Dermatology |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2015-07-20 |