Organization
SHARED MEDICAL THERAPIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NANCI COLLEEN KEEFE (BUSINESS MANAGER)
(412) 820-0570
Entity
Organization
Contact information
Practice address
6400 BROOKTREE CT, WEXFORD, PA 15090-9271
(724) 933-3900
(412) 820-4477
Mailing address
6400 BROOKTREE CT, WEXFORD, PA 15090-9271
(724) 933-3900
(412) 820-4477
Taxonomy
Speciality
Code
Description
License number
State
213ES0131X
Foot Surgery Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
SH1503201
HIGHMARK BC
PA
Enumeration date
07/13/2007
Last updated
07/13/2007
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