| NPI | 1407981566 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. BRYAN Projects Mgr. 814-949-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology, Neurology |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-08-08 |