Individual
DOMINIC DESALLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 LOCUST ST, SUITE 236, PITTSBURGH, PA 15219-5114
(412) 232-8375
Mailing address
1400 LOCUST ST, SUITE 236, PITTSBURGH, PA 15219-5114
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA060412
PA
Other
Enumeration date
11/09/2018
Last updated
06/30/2022
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