NPI | 1174520654 |
---|---|
Entity Type | Organization |
Authorized Contact | DAVID GIBBONS President 814-877-7591 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207P00000X Emergency Medicine |
207PS0010X Emergency Medicine, Sports Medicine | |
207R00000X Internal Medicine | |
207W00000X Ophthalmology | |
207XX0005X Orthopaedic Surgery, Sports Medicine | |
208000000X Pediatrics | |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
2084N0400X Psychiatry & Neurology, Neurology | |
2084P0800X Psychiatry & Neurology, Psychiatry | |
2085R0204X Radiology, Vascular & Interventional Radiology | |
208600000X Surgery | |
208800000X Urology | |
208M00000X Hospitalist | |
225100000X Physical Therapist | |
Enumeration Date | 2005-06-30 |
Last Update Date | 2022-07-21 |