Individual
BRIAN CLISTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5321 WILLIAM FLYNN HWY, SUITE 3300, GIBSONIA, PA 15044-9639
(724) 449-9300
Mailing address
11279 PERRY HWY, SUITE 450, WEXFORD, PA 15090-9381
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD053924L
PA
Other
Enumeration date
03/09/2006
Last updated
03/25/2021
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