| NPI | 1215106323 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH A THOMAS Supervisor 814-833-1147 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA md045797l) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA md045797l) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2020-09-11 |