| Sma Deerlakes, Pc | |
|
1360 Old Freeport Rd Suite 1b Pittsburgh PA 15238-4102 | |
| (412) 767-5212 | |
| (412) 782-6103 |
| Full Name | Sma Deerlakes, Pc |
|---|---|
| Speciality | Family Medicine |
| Location | 1360 Old Freeport Rd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | Michael E Chismer (PRESIDENT) |
| Authorized Official Contact | 4127675387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sma Deerlakes, Pc 1360 Old Freeport Rd Suite 1b Pittsburgh PA 15238-4102 Ph: (412) 767-5212 | Sma Deerlakes, Pc 1360 Old Freeport Rd Suite 1b Pittsburgh PA 15238-4102 Ph: (412) 767-5212 |
| NPI Number | 1487959714 |
|---|---|
| Provider Enumeration Date | 01/18/2011 |
| Last Update Date | 01/18/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487959714 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD053615L (Pennsylvania) | Primary |
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