Individual
DR. JOHN JACOB MISSRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5701 CENTRE AVE, SUITE L-3, PITTSBURGH, PA 15206-3744
(412) 661-2100
(412) 661-3930
Mailing address
5701 CENTRE AVE, SUITE L-3, PITTSBURGH, PA 15206-3744
(412) 661-2100
(412) 661-3930
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MD048849L
PA
Other
Enumeration date
01/17/2007
Last updated
01/28/2009
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