Organization
GO PHLEB, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PHOENIX NICOLE MOORE (OWNER)
(412) 407-3729
Entity
Organization
Contact information
Practice address
239 4TH AVE STE 1818, PITTSBURGH, PA 15222-1716
(412) 407-3729
Mailing address
239 4TH AVE STE 1818, PITTSBURGH, PA 15222-1716
(412) 407-3729
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2020
Last updated
06/05/2020
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