| NPI | 1033252879 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. BRYAN Projects Mgr. 814-949-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 103T00000X Psychologist |
| 207N00000X Dermatology | |
| 207R00000X Internal Medicine | |
| 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism | |
| 207VG0400X Obstetrics & Gynecology, Gynecology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| 208600000X Surgery | |
| 363A00000X Physician Assistant | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-04-28 |