| NPI | 1194794057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DENNIS KITSKO President 724-222-7240 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207R00000X Internal Medicine |
| Enumeration Date | 2006-03-14 |
| Last Update Date | 2009-10-27 |