Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207VX0000X | Obstetrician | MW010568 | PA |
NPI | 1386270767 |
---|---|
Provider Name | Madison Rice |
First Address | Pittsburgh, PA 15219-1153 |
Second Address | Pittsburgh, PA 15213-3108 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/03/2020 |
Last Update Date | 24/05/2021 |