Registry details
Type
Individual
Primary specialty
Physician Assistant
Enumerated
Jan 9, 2019
License(s)
MA060350 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| LOCATION | 1307 FEDERAL ST STE 2 | Pittsburgh, PA 15212-4769 | 877-660-6777 |
| MAILING | 1307 FEDERAL ST STE 2 | Pittsburgh, PA 15212-4769 | 877-660-6777 |
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