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NPI Code Detail

MEDICARE: ST CLAIR MEDICAL SERVICES INC

MEDICARE: ST CLAIR MEDICAL SERVICES INC
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
1208800000XUrology PhysicianPA
2208800000XUrology Physician

General Provider Information

NPI Number : 1437455771
Entity Type Code : Organization
Provider Name (Legal Business Name) : ST CLAIR MEDICAL SERVICES INC
Provider Business Mailing Address
First Line : 1000 BOWER HILL ROAD
Second Line : ATTN PAMALYN PATNESKY
City : PITTSBURGH
State : PA
Zip : 15243-1873
Country : US
Telephone Number : 412-942-2548
Fax Number :
Provider Business Practice Location Address
First Line : 1145 BOWER HILL RD STE 105
Second Line :
City : PITTSBURGH
State : PA
Zip : 15243-1346
Country : US
Telephone Number : 412-579-6194
Fax Number :
Authorized Official
Title or Position : CREDENTIALING SPECILIST
Name : PAMALYN PATNESKY
Credential :
Telephone Number : 412-942-2548
Provider Enumeration Date : 02/03/2011
Last Update Date : 03/02/2021

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Directions to “ST CLAIR MEDICAL SERVICES INC ” Practice Location

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