| NPI | 1457394835 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA M DIEHL Office Manager 814-946-2846 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD014366E) |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD017146E) |
| 207RP1001X Internal Medicine, Pulmonary Disease (Licence: PA MD061570L) | |
| Enumeration Date | 2006-06-14 |
| Last Update Date | 2011-04-26 |