| NPI | 1407062912 |
|---|---|
| Doing Business As | MARK R. MINOR |
| Entity Type | Organization |
| Authorized Contact | MARK R MINOR Owner 814-644-0605 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD044701L) |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2008-07-09 |