Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RH0002X | Hospice and Palliative Medicine | MD419184 | PA |
NPI | 1174596977 |
---|---|
Provider Name | Dr. Randy Scott Hebert |
First Address | Pittsburgh, PA 15224-2156 |
Second Address | Pittsburgh, PA 15221-5238 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 10/02/2006 |
Last Update Date | 08/04/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
001892486 | (05) | PA |
G95224 | (02) | PA |