| NPI | 1093956617 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S SUTIKA Authorized Official & Secretary 814-375-3385 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207QA0401X Family Medicine, Addiction Medicine |
| 207RB0002X Internal Medicine, Bariatric Medicine | |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 207T00000X Neurological Surgery | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 2080P0202X Pediatrics, Pediatric Cardiology | |
| 208600000X Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 213E00000X Podiatrist | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2021-10-14 |