| NPI | 1073816690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOEL HAIGHT Medical Director 814-272-4481 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center Ambulatory Surgical (Licence: PA 2287I501) |
| Enumeration Date | 2010-12-21 |
| Last Update Date | 2011-09-08 |