Individual provider · Type 1 NPI
Justina Heidenthal, PA-C
Surgical Physician Assistant · Pittsburgh, PA
NPI number
1174657670
Active
Practice location
1307 Federal St, 2nd Floor
Pittsburgh, PA 15212-4769
Fax (412) 359-8055
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Surgical Physician Assistant Primary | 363AS0400X | MA052583 (PA) |
Surgical Physician Assistant: Definition to come...
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About NPI 1174657670
Justina Heidenthal, PA-C's National Provider Identifier is 1174657670, issued on Mar 15, 2007. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Pittsburgh, PA. The record was last updated on Oct 9, 2015.