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Organization

NV PODIATRY

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DAVID RAY VILSACK DPM (DPM)
(412) 621-5700
Entity
Organization

Contact information

Practice address
532 S AIKEN AVE, STE 108, PITTSBURGH, PA 15232-1521
(412) 621-5700
(412) 621-2890
Mailing address
532 S AIKEN AVE, STE 108, PITTSBURGH, PA 15232-1521
(412) 621-5700
(412) 621-2890

Taxonomy

Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001542L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
000720224
APWU
PA
05
0016108820009
PA
01
1036711
GATEWAY
PA
01
202304
UPMC
PA
01
251279
HEALTH AMERICA
PA
01
65298
MEDPLUS
PA
01
887857
BS
PA
01
CC6746
RAILROAD MEDICARE
PA
Enumeration date
08/02/2005
Last updated
05/09/2008
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