| NPI | 1306184858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. JOHNSON CEO/Owner 814-943-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD044867E) |
| Additional Taxonomies | 2081P2900X Physical Medicine & Rehabilitation, Pain Medicine (Licence: PA MD438515) |
| Enumeration Date | 2013-01-17 |
| Last Update Date | 2017-02-28 |