Individual
JILL ANN RANDAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
600 FORBES AVE, PITTSBURGH, PA 15219-3016
(412) 396-1650
Mailing address
5000 CARNOUSTIE DR, PRESTO, PA 15142-1082
(412) 735-6062
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
MA002760-L
PA
363A00000X
Physician Assistant
Primary
OA006500
PA
363AM0700X
Medical Physician Assistant
OA006500
PA
Other
Enumeration date
09/17/2013
Last updated
08/17/2023
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