| NPI | 1295181048 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL PEZZONE Physician 724-503-4637 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA057989) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-05-11 |