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9104 Babcock Blvd Ste 2120 Pittsburgh PA 15237-5818 | |
| (412) 367-0600 | |
| (412) 367-7079 |
| Full Name | |
|---|---|
| Speciality | Orthopaedic Surgery |
| Location | 9104 Babcock Blvd, Pittsburgh, Pennsylvania |
| Authorized Official Name and Position | D. Kelly Agnew (PRESIDENT) |
| Authorized Official Contact | 4123670600 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
9104 Babcock Blvd Ste 2120 Pittsburgh PA 15237-5818 Ph: (412) 367-0600 | 9104 Babcock Blvd Ste 2120 Pittsburgh PA 15237-5818 Ph: (412) 367-0600 |
| NPI Number | 1588667679 |
|---|---|
| Provider Enumeration Date | 05/23/2005 |
| Last Update Date | 11/03/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588667679 | NPI | - | NPPES |
| 0006963180003 | Medicaid | PA | |
| 0006963180002 | Medicaid | PA |
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