Registry details
Type
Individual
Primary specialty
Dermatology, MOHS-Micrographic Surgery
Enumerated
May 10, 2019
License(s)
46170 (AL), MD486140 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 200 LOTHROP ST OFFICE OF EDUCATION N715 DEPARTMENT OF MEDICINE | Pittsburgh, PA 15213-2536 | 412-692-4888 |
| MAILING | 9000 BROOKTREE RD STE 200 | Wexford, PA 15090-9288 | 724-933-1336 |
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