| NPI | 1467787374 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CELOS LUIZ BACKES President 814-274-7101 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: PA MD035343L) |
| Enumeration Date | 2009-10-09 |
| Last Update Date | 2009-10-09 |