NPI | 1366790750 |
---|---|
Entity Type | Organization |
Authorized Contact | MICHAEL F ICKOWSKI Chief Financial Officer 724-357-7008 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA 090701) |
Additional Taxonomies | 261QU0200X Clinic/Center, Urgent Care (Licence: PA 090701) |
Enumeration Date | 2012-08-16 |
Last Update Date | 2024-07-10 |