| NPI | 1356102859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES Y LIN President 814-602-7783 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 213E00000X Podiatrist | |
| 207RG0300X Internal Medicine Geriatric Medicine | |
| Enumeration Date | 2024-01-22 |
| Last Update Date | 2024-01-22 |