| NPI | 1346236833 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LYNN PARSHALL Billing Clerk 814-266-8840 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QM1300X Clinic/Center, Multi-Specialty |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD-039547-L) |
| Enumeration Date | 2005-09-21 |
| Last Update Date | 2020-05-20 |