Individual
DEBORAH A OPACIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1307 FEDERAL ST STE B100, PITTSBURGH, PA 15212-4761
(412) 359-8900
(412) 359-8977
Mailing address
1307 FEDERAL ST STE B100, PITTSBURGH, PA 15212-4761
(412) 359-8900
(412) 359-8977
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA000662L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
103559413
—
PA
01
—
11655431
CAQH
—
Enumeration date
07/05/2006
Last updated
11/19/2020
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