Individual
GREGORY SHANK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2000 CLIFFMINE RD, PKW 2 SUITE 110, PITTSBURGH, PA 15275-1008
(412) 494-4550
(412) 494-6094
Mailing address
100 S JACKSON AVE, PITTSBURGH, PA 15202-3428
(412) 734-6100
(412) 734-6800
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
SP016581
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103346853
—
PA
Enumeration date
10/20/2016
Last updated
06/18/2024
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