| NPI | 1164057840 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HELLER Chief Financial Officer 814-868-7758 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 204D00000X Neuromusculoskeletal Medicine & OMM |
| Enumeration Date | 2020-03-03 |
| Last Update Date | 2020-03-06 |