| NPI | 1255859112 |
|---|---|
| Doing Business As | PENN'S ROCK PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | MONIKA VANSANT Physician 267-519-9353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA os010207l) |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2019-02-01 |