Individual
DR. MICHAEL ALLEN PACKARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-2459
(414) 359-8233
Mailing address
320 E NORTH AVE, PITTSBURGH, PA 15212-4756
(412) 359-2459
(412) 359-8233
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
OS015976
PA
2085R0202X
Diagnostic Radiology Physician
OT012102
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
102725126
—
PA
Enumeration date
11/19/2009
Last updated
10/05/2020
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