Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VG0400X | Gynecologist | MD433642 | PA |
NPI | 1003918749 |
---|---|
Provider Name | Beth Ann Prairie |
First Address | Pittsburgh, PA 15224-2156 |
Second Address | Pittsburgh, PA 15224-2156 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 02/09/2006 |
Last Update Date | 10/08/2021 |