NPI | 1407242902 |
---|---|
Entity Type | Organization |
Authorized Contact | AMY WILKINSON Pe Manager 717-231-8038 |
Organization Subpart ? | No |
Primary Taxonomy | 207X00000X Orthopaedic Surgery |
Additional Taxonomies | 207QS0010X Family Medicine Sports Medicine |
207T00000X Neurological Surgery | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2015-04-10 |
Last Update Date | 2024-04-24 |