Individual
DANA MARIE PIGFORD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
3401 CIVIC CENTER BLVD, CHILDREN'S HOSPITAL OF PHILADELPHIA - RADIOLOGY, PHILADELPHIA, PA 19104-4319
(215) 590-7000
(215) 590-9348
Mailing address
100 E PENN SQ, 9TH FLOOR, PHILADELPHIA, PA 19107-3323
(267) 425-9258
(267) 425-9299
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA051274
PA
363AM0700X
Medical Physician Assistant
MA051274
PA
363AS0400X
Surgical Physician Assistant
MA051274
PA
Other
Enumeration date
05/20/2009
Last updated
12/22/2014
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