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Individual

SHELLEY RENEE DIGGINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
O.D.

Contact information

Practice address
1101 FREEPORT RD, PITTSBURGH, PA 15238-3103
(412) 782-0400
Mailing address
954 PAMELA DR, LOWER BURRELL, PA 15068-2711
(724) 335-0640

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OEG000993
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0073090960002
PA
Enumeration date
05/06/2007
Last updated
03/17/2018
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