Individual
PATRICK J MATINKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
565 COAL VALLEY ROAD, PITTSBURGH, PA 15236-3703
(412) 469-5100
(412) 831-5663
Mailing address
565 COAL VALLEY RD, JEFFERSON HILLS, PA 15025-3703
(412) 469-5000
(412) 469-7174
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
RN601308
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
RN601308
RN LICENSE
PA
Enumeration date
09/14/2017
Last updated
10/03/2020
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