NPI | 1386735744 |
---|---|
Entity Type | Organization |
Authorized Contact | DOUGLAS WESLEY BRENNEMAN Physician 717-792-1811 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS-012651) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: PA OS-012261) |
Enumeration Date | 2006-09-28 |
Last Update Date | 2012-04-19 |