| NPI | 1275123663 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER PODVIN Director Of Credentialing 725-529-2714 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Enumeration Date | 2021-01-20 |
| Last Update Date | 2022-03-20 |