| NPI | 1427893791 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEAN NEJMAN Credentialing Specialist 814-868-2507 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 213E00000X Podiatrist |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |