NPI | 1205370442 |
---|---|
Doing Business As | FAMILY PRACTICE CENTER SLEEP CENTER |
Entity Type | Organization |
Authorized Contact | JILL L REED Credentialing 570-743-1703 |
Organization Subpart ? | No |
Primary Taxonomy | 207RS0012X Internal Medicine, Sleep Medicine (Licence: PA OS008867L) |
Enumeration Date | 2016-12-07 |
Last Update Date | 2016-12-07 |