| NPI | 1174118566 |
|---|---|
| Other Name | PENN STATE HEALTH MEDICAL GROUP - BLUE RIDGE |
| Entity Type | Organization |
| Authorized Contact | PAULA TINCH CFO 717-531-1788 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2021-03-08 |
| Last Update Date | 2022-02-14 |