| NPI | 1477625879 |
|---|---|
| Doing Business As | LVPG FAMILY MEDICINE - BRODHEADSVILLE |
| Entity Type | Organization |
| Authorized Contact | JAMES DEMOPOLOUS VP CFO 484-884-4500 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2006-11-14 |
| Last Update Date | 2018-09-26 |