| NPI | 1235994583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARIE PRICE CEO 725-220-3863 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 207KA0200X Allergy & Immunology Allergy |
| 207R00000X Internal Medicine | |
| 207K00000X Allergy & Immunology | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| Enumeration Date | 2024-02-15 |
| Last Update Date | 2025-09-02 |