Organization
SCMG - UROLOGIC SERVICES PC
Active
Parent organization
ST. CLAIR MEMORIAL HOSPITAL
Other names
SCMG - Urologic Services PC
Organization subpart
Yes
Provider details
NPI number
Legal business name
ST. CLAIR MEMORIAL HOSPITAL
Authorized official
PAMALYN PATNESKY (CREDENTIALING SPECIALIST)
(412) 942-2548
Entity
Organization
Contact information
Practice address
651 COLLIERS WAY STE 509, WEIRTON, WV 26062-5054
(304) 723-4610
Mailing address
1000 BOWER HILL RD, PITTSBURGH, PA 15243-1873
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
—
—
363A00000X
Physician Assistant
—
—
363AS0400X
Surgical Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
11/11/2021
Last updated
11/11/2021
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