Provider Demographics
NPI:1821304221
Name:MITCHELL-SEGERS, DARIA L (MPA, MPH, PA-C)
Entity Type:Individual
Prefix:
First Name:DARIA
Middle Name:L
Last Name:MITCHELL-SEGERS
Suffix:
Gender:F
Credentials:MPA, MPH, PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 PENN AVE
Mailing Address - Street 2:
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15221-2156
Mailing Address - Country:US
Mailing Address - Phone:412-242-8860
Mailing Address - Fax:412-242-8863
Practice Address - Street 1:200 PENN AVE
Practice Address - Street 2:
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15221-2156
Practice Address - Country:US
Practice Address - Phone:412-242-8860
Practice Address - Fax:412-242-8863
Is Sole Proprietor?:No
Enumeration Date:2010-08-23
Last Update Date:2010-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMA-002795L207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine