| NPI | 1477991461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P BALKO Director 724-347-0591 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208D00000X General Practice |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 213E00000X Podiatrist | |
| 231H00000X Audiologist | |
| Enumeration Date | 2013-06-12 |
| Last Update Date | 2013-06-12 |