| NPI | 1013507482 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRENDA KELLEY A VP Coorporate Revenue Cycle 570-887-3328 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2022-08-09 |