Most Relevant Information
Provider Data
NPI Number: | 1003206251 |
Provider Name: | AMY GOODMAN MMS, PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363AM0700X |
Specialty: | Physician Assistant |
License Number: |
Most Important Dates
Enumeration Date: | 01/27/2015 |
Last Updated: | 03/26/2021 |
Provider Practice Location
5115 CENTRE AVE
PITTSBURGH
PA
152321301
Practice Location Phone/Fax
Phone: | 4126472811 |
Fax: |
Provider Mailing Location
5115 CENTRE AVE FL 2
PITTSBURGH
PA
152321301
Provider Mailing Phone/Fax
Phone: | 4126472811 |
Fax: |