Registry details
Type
Individual
Primary specialty
Physician Assistant, Medical
Enumerated
Sep 15, 2020
License(s)
MA061839 (PA)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 138 PEAR ORCHARD RD | Moon Township, PA 15108-3828 | 412-862-7752 |
| LOCATION | 4815 LIBERTY AVE STE 156 | Pittsburgh, PA 15224-2156 | 412-578-4230 |
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