| NPI | 1164049573 |
|---|---|
| Doing Business As | PENN HIGHLANDS HUNTINGDON GASTROENTEROLOGY |
| Entity Type | Organization |
| Authorized Contact | TONI HETRICK Insurance Credentialing Technician 814-643-8295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2020-07-01 |
| Last Update Date | 2020-07-01 |