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Organization
PEFHA HEALTH & WELLNESS CENTER
Active
Organization
PEFHA HEALTH & WELLNESS CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YVETTE BROADNAX MD (PRESIDENT)
(412) 241-4104
Entity
Organization
Contact information
Practice address
10 DUFF RD STE 103, PITTSBURGH, PA 15235-3261
(412) 241-4104
(412) 241-9567
Mailing address
10 DUFF RD STE 103, PITTSBURGH, PA 15235-3261
(412) 241-4104
(412) 241-9567
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
MD-72372L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
018405050003
—
PA
Enumeration date
01/19/2007
Last updated
11/03/2022
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