NPI | 1194862854 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES GORDON GREGORY Physician 724-652-3505 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD065489L) |
Enumeration Date | 2007-01-31 |
Last Update Date | 2020-08-22 |