Healthcare Provider Details

I. General information

NPI: 1316390628
Provider Name (Legal Business Name): ALETA MIZNER DO
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2016
Last Update Date: 07/09/2024
Certification Date: 07/09/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

320 E NORTH AVE
PITTSBURGH PA
15212-4772
US

IV. Provider business mailing address

320 E NORTH AVE
PITTSBURGH PA
15212-4772
US

V. Phone/Fax

Practice location:
  • Phone: 412-359-4905
  • Fax:
Mailing address:
  • Phone: 412-359-4905
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberOS023417
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: