| NPI | 1003260688 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN S KLINE Authorized Official, VP & CFO 814-375-6377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2016-04-20 |
| Last Update Date | 2016-05-02 |