Individual provider · Type 1 NPI
Grace Fort
Medical Physician Assistant · Pittsburgh, PA
NPI number
1194522664
Active
Practice location
4401 Penn Ave
Pittsburgh, PA 15224-1342
Mailing address
203 Summit Acres Dr
Mars, PA 16046-1400
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Medical Physician Assistant Primary | 363AM0700X | MA066415 (PA) |
Medical Physician Assistant: Definition to come...
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About NPI 1194522664
Grace Fort's National Provider Identifier is 1194522664, issued on Mar 3, 2025. The primary taxonomy on file is Medical Physician Assistant (363AM0700X), and the practice location is in Pittsburgh, PA. The record was last updated on Mar 5, 2025.