Individual
DIANE JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
5750 CENTRE AVE, STE 190, PITTSBURGH, PA 15206-3761
(412) 362-9440
(412) 362-9363
Mailing address
PO BOX 4649, SUITE 670, PITTSBURGH, PA 15206-0649
(412) 362-9440
(412) 362-9363
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC003241L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0077581540001
—
PA
01
—
250813
UPMC
PA
01
—
544061
HIGHMARKBCBS
PA
Enumeration date
07/11/2006
Last updated
09/29/2016
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