| NPI | 1053727891 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MADELINE ELIZABETH CAMPBELL Physician Assistant 724-799-5309 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MA056948) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: PA OA003326) |
| Enumeration Date | 2014-07-01 |
| Last Update Date | 2014-07-01 |