| NPI | 1154749497 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GINA MARIE DILUZIO Practice Admin 814-459-0585 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP3300X Clinic/Center, Pain |
| 261QM2500X Clinic/Center, Medical Specialty | |
| Enumeration Date | 2014-04-03 |
| Last Update Date | 2015-10-29 |