| NPI | 1104987452 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARK WEISEL President 724-547-7440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD020089E) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2008-02-29 |