| NPI | 1407844079 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL J. TEIKEN President 717-350-0390 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207L00000X Anesthesiology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| 208VP0000X Pain Medicine, Pain Medicine | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2022-07-21 |