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Individual

BRIAN SMITH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BOCP

Contact information

Practice address
370 TAMPA AVE, PITTSBURGH, PA 15228-2419
(412) 916-4688
Mailing address
370 TAMPA AVE, PITTSBURGH, PA 15228
(412) 860-8512

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
PO000227
PA

Other

Enumeration date
05/10/2017
Last updated
05/10/2017
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