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Individual

MRS. PAIGE M PROKSA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
5820 CENTRE AVE, PITTSBURGH, PA 15206-3710
(412) 661-5500
(412) 661-4760
Mailing address
5820 CENTRE AVENUE, PITTSBURGH, PA 15206
(412) 661-5500
(412) 661-4760

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
MA003442L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
MA003442L
MEDICAL LICENSE
PA
Enumeration date
05/23/2006
Last updated
09/30/2008
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