| NPI | 1306946710 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S. SUTIKA CFO 814-375-6104 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 133V00000X Dietitian, Registered |
| Additional Taxonomies | 207RI0200X Internal Medicine Infectious Disease |
| Enumeration Date | 2006-09-25 |
| Last Update Date | 2008-02-15 |