Organization
BETHEL PARK MEDICAL AND WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEBRA LEONARD (CREDENTIALING MANAGER)
(412) 279-4522
Entity
Organization
Contact information
Practice address
2746 S PARK RD, BETHEL PARK, PA 15102-3806
(412) 831-8000
(412) 833-2536
Mailing address
2746 S PARK RD, BETHEL PARK, PA 15102-3806
(412) 831-8000
(412) 833-2536
Taxonomy
Speciality
Code
Description
License number
State
207QS0010X
Sports Medicine (Family Medicine) Physician
Primary
MD420553
PA
Other
Enumeration date
01/08/2014
Last updated
01/08/2014
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