Healthcare Provider Details
I. General information
NPI: 1598757858
Provider Name (Legal Business Name): SOUTH HILLS PULMONARY ASSOCIATES
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/22/2005
Last Update Date: 01/09/2013
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1050 BOWER HILL RD SUITE 306
PITTSBURGH PA
15243-1800
US
IV. Provider business mailing address
1050 BOWER HILL RD SUITE 306
PITTSBURGH PA
15243-1800
US
V. Phone/Fax
- Phone: 412-572-6168
- Fax: 412-563-4517
- Phone: 412-572-6168
- Fax: 412-563-4517
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207RP1001X |
| Taxonomy | Pulmonary Disease Physician |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
CHARLES
VAUGHN
STRIMLAN
Title or Position: PRESIDENT
Credential: M.D.
Phone: 412-572-6168