Individual
MARK A. PIASIO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
145 HOSPITAL AVE, SUITE 311, DU BOIS, PA 15801-1462
(814) 375-9617
(814) 375-9624
Mailing address
PO BOX 447, DU BOIS, PA 15801-0447
(814) 375-9617
(814) 375-9624
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
MD-043778-E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000403808
BLUE CROSS
PA
05
—
0011645720003
—
PA
Enumeration date
08/01/2006
Last updated
06/21/2011
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