| NPI | 1003897307 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS E SERENA CEO 814-452-7878 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 213ES0103X Podiatrist, Foot & Ankle Surgery |
| 207Q00000X Family Medicine | |
| 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2008-09-11 |