| NPI | 1164473690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RG0100X Internal Medicine, Gastroenterology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 133V00000X Dietitian, Registered | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2021-10-14 |