| NPI | 1346395258 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WELDON R LOVELY Pres CEO 814-266-6164 |
| Organization Subpart ? | No |
| Primary Taxonomy | 213E00000X Podiatrist (Licence: PA sc004705L) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA sc003125L) |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2007-09-05 |