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Organization
NV PODIATRY
Active
Organization
NV PODIATRY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID RAY VILSACK DPM (DPM)
(412) 621-5700
Entity
Organization
Contact information
Practice address
532 S AIKEN AVE, STE 108, PITTSBURGH, PA 15232-1521
(412) 621-5700
(412) 621-2890
Mailing address
532 S AIKEN AVE, STE 108, PITTSBURGH, PA 15232-1521
(412) 621-5700
(412) 621-2890
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001542L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000720224
APWU
PA
05
—
0016108820009
—
PA
01
—
1036711
GATEWAY
PA
01
—
202304
UPMC
PA
01
—
251279
HEALTH AMERICA
PA
01
—
65298
MEDPLUS
PA
01
—
887857
BS
PA
01
—
CC6746
RAILROAD MEDICARE
PA
Enumeration date
08/02/2005
Last updated
05/09/2008
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