MEDICARE: HEIDI MESLEY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363AS0400X	Surgical Physician Assistant	MA057075	PA

General Provider Information

NPI Number	:	1407256944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI MESLEY

Provider Business Mailing Address
First Line	:	509 COUNTRYSIDE DR
Second Line	:	SUITE 3000
City	:	MC KEES ROCKS
State	:	PA
Zip	:	15136-1216
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	200 DELAFIELD RD STE 3000
Second Line	:	SUITE 3000
City	:	PITTSBURGH
State	:	PA
Zip	:	15215-3214
Country	:	US
Telephone Number	:	412-369-4000
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/03/2014
Last Update Date	:	05/24/2021

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Directions to “ HEIDI MESLEY ” Practice Location

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