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NPI Code Detail

MEDICARE: VICTOR ROBERT PRISK MD

MEDICARE: VICTOR ROBERT PRISK MD
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
1207X00000XOrthopaedic Surgery PhysicianMD428341PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1710921978
Entity Type Code : Individual
Provider Name (Legal Business Name) : VICTOR ROBERT PRISK MD
Provider Business Mailing Address
First Line : 2490 MOSSIDE BLVD
Second Line :
City : MONROEVILLE
State : PA
Zip : 15146-2760
Country : US
Telephone Number : 412-565-7013
Fax Number : 412-565-7015
Provider Business Practice Location Address
First Line : 2490 MOSSIDE BLVD
Second Line :
City : MONROEVILLE
State : PA
Zip : 15146-2760
Country : US
Telephone Number : 412-565-7013
Fax Number : 412-565-7015
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/16/2006
Last Update Date : 07/21/2022

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