Individual
STACIE BYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
119 UNIVERSITY PL, PITTSBURGH, PA 15213-2605
(412) 383-1800
(412) 383-1807
Mailing address
119 UNIVERSITY PL, PITTSBURGH, PA 15213-2605
(412) 383-1800
(412) 383-1807
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
46698
CO
207P00000X
Emergency Medicine Physician
Primary
OS009824L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001791394
—
PA
05
—
80954537
—
CO
01
—
P00671631
RR MEDICARE
CO
Enumeration date
03/23/2006
Last updated
07/21/2022
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