| NPI | 1477651826 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HEATHER RENEE HARDIN Office Manager 814-162-2221 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX K2373) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2020-08-22 |