| NPI | 1174158737 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL HELLER Chief Financial Officer 814-868-7758 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Enumeration Date | 2020-03-04 |
| Last Update Date | 2020-03-04 |