Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Aug 13, 2014
License(s)
13598623-1206 (UT), 017813 (NY), MA063482 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 200 LOTHROP ST STE B445.2 | Pittsburgh, PA 15213-2536 | 412-647-3685 |
| MAILING | 200 LOTHROP ST STE B445.2 | Pittsburgh, PA 15213-2536 | 412-647-3685 |
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