Organization
WEST PENN ALLEGHENY HEALTH SYSTEM INC.
Active
Other names
West Penn Breast Surgery
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE CRAVENER (MANAGED CARE SPECIALIST)
(412) 330-4938
Entity
Organization
Contact information
Practice address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(724) 942-5493
(724) 942-5496
Mailing address
100 MEDICAL BLVD, CANONSBURG, PA 15317-9762
(724) 942-5493
(724) 942-5496
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD065330L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1007277200106
—
PA
Enumeration date
11/06/2007
Last updated
06/11/2009
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