| NPI | 1396759296 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTOPHER SCOTT CANNON President 717-991-5030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: PA MD044026E) |
| Enumeration Date | 2006-07-28 |
| Last Update Date | 2007-09-06 |