Individual
MR. JOHN GABRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2580 HAYMAKER RD STE 304, MONROEVILLE, PA 15146-3500
(412) 858-3070
(412) 858-3076
Mailing address
2580 HAYMAKER RD STE 304, MONROEVILLE, PA 15146-3500
(412) 858-3070
(412) 858-3076
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA059870
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103530415
—
PA
01
—
14288851
CAQH
—
Enumeration date
06/21/2018
Last updated
10/01/2020
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