| NPI | 1174909527 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WENDY LYNN RIPPLE Physician 814-456-7548 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207NP0225X Dermatology, Pediatric Dermatology (Licence: PA MD056388L) |
| Enumeration Date | 2015-08-08 |
| Last Update Date | 2015-08-08 |