Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | SP003027C | PA |
NPI | 1003985250 |
---|---|
Provider Name | Melody Ives |
First Address | Pittsburgh, PA 15213-2536 |
Second Address | Pittsburgh, PA 15213-3403 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 06/11/2006 |
Last Update Date | 08/07/2007 |