| NPI | 1215126255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN D YUREK Billing Coordinator 717-264-0123 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD039302L) |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2010-10-30 |