Individual
ROBERT THOMAS MODRAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.A.
Contact information
Practice address
1350 LOCUST ST, MERCY ORTHOPEDIC ASSICIATES SUITE220, PITTSBURGH, PA 15219-4738
(412) 232-5800
(412) 232-7351
Mailing address
UNIVERSITY DRIVE C, VA PITTSBURGH HEALTHCARE SYSTEM, PITTSBURGH, PA 15240
(412) 688-6603
(412) 232-7351
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
OA002121
PA
363AM0700X
Medical Physician Assistant
Primary
MA000496L
PA
Other
Enumeration date
12/09/2005
Last updated
03/03/2008
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