| 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 |