| NPI | 1477669901 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JASON E HENNINGER Owner/Physician 814-684-1245 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS009583L) |
| Enumeration Date | 2006-08-21 |
| Last Update Date | 2010-10-13 |