| NPI | 1225087398 |
|---|---|
| Other Name | MTN HOME MEDICAL GROUP PA |
| Entity Type | Organization |
| Authorized Contact | MAXWELL G CHENEY Owner 870-425-3125 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine (Licence: AR MC0049) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: AR MC0049) |
| Enumeration Date | 2006-05-08 |
| Last Update Date | 2011-04-14 |