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 |