Individual
ALISA B. PENICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3433 WILLIAM PENN HWY, PITTSBURGH, PA 15235-5412
(412) 825-3627
Mailing address
3433 WILLIAM PENN HWY, PITTSBURGH, PA 15235-5412
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA053448
PA
Other
Enumeration date
10/06/2008
Last updated
10/06/2008
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