| NPI | 1104852375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT R CONCILUS Owner 814-333-5872 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD027700E) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2020-08-22 |