| NPI | 1356695720 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL SIMMON Secretary/Treasurer 724-258-1106 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease |
| 207VX0000X Obstetrics & Gynecology, Obstetrics | |
| Enumeration Date | 2012-11-06 |
| Last Update Date | 2020-07-24 |