Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 224P00000X | Prosthetist | POOOOO76 | PA |
NPI | 1427584176 |
---|---|
Provider Name | Drew Buffat |
First Address | Pittsburgh, PA 15238-2908 |
Second Address | Pittsburgh, PA 15238-2908 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 02/05/2017 |
Last Update Date | 02/05/2017 |