| NPI | 1134258379 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES WILBUR STOTLER Physician 814-266-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD017069E) |
| Enumeration Date | 2007-03-05 |
| Last Update Date | 2015-04-06 |