NPI | 1235225400 |
---|---|
Former Legal Business Name | WPHC-TIBERIO |
Entity Type | Organization |
Authorized Contact | JOHN M SPHON Vice President 724-830-8500 |
Organization Subpart ? | No |
Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
Enumeration Date | 2006-10-05 |
Last Update Date | 2020-08-22 |