MEDICARE: JOHN CLAIR

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	363AM0700X	Medical Physician Assistant	MA057274	PA

General Provider Information

NPI Number	:	1871997155
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOHN CLAIR

Provider Business Mailing Address
First Line	:	124 CONNEAUT DR
Second Line	:	UPMC ST MARGARET HOSPITAL
City	:	PITTSBURGH
State	:	PA
Zip	:	15239-2631
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	625 RUSTIC LODGE RD
Second Line	:	UPMC ST MARGARET HOSPITAL
City	:	INDIANA
State	:	PA
Zip	:	15701-3403
Country	:	US
Telephone Number	:	724-463-3720
Fax Number	:

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

Provider Enumeration Date	:	10/15/2014
Last Update Date	:	04/06/2021

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