| NPI | 1245865583 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD LUSK Chief Financial Officer 814-868-7760 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine |
| Additional Taxonomies | 207RI0200X Internal Medicine, Infectious Disease |
| 204D00000X Neuromusculoskeletal Medicine & OMM | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| Enumeration Date | 2020-03-06 |
| Last Update Date | 2023-04-26 |