Organization
MCKEESPORT MED EQIP SVS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS PATRICIA PAUL ARCHIBONG (PROPRIETOR)
(412) 687-0961
Entity
Organization
Contact information
Practice address
506 S MILLVALE AVE, PITTSBURGH, PA 15224-2118
(412) 687-0961
(412) 687-1126
Mailing address
506 S MILLVALE AVE, PITTSBURGH, PA 15224-2118
(412) 687-0961
(412) 687-1126
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Enumeration date
07/25/2006
Last updated
08/04/2008
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