| NPI | 1396810826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MALCOLM HOWARD DIETRICH Family Practitioner 717-843-4844 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207QA0505X Family Medicine, Adult Medicine (Licence: PA OS002279L) |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2020-08-22 |