Organization
GRANDIS RUBIN SHANAHAN AND ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEVON PODUFAL CRNP (CRNP)
(412) 469-7660
Entity
Organization
Contact information
Practice address
575 COAL VALLEY RD, SUITE 570, JEFFERSON HILLS, PA 15025-3730
(412) 469-7660
(412) 469-7547
Mailing address
575 COAL VALLEY RD, SUITE 570, JEFFERSON HILLS, PA 15025-3730
(412) 469-7660
(412) 469-7547
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
SP013378
PA
Other
Enumeration date
01/09/2014
Last updated
01/09/2014
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