| NPI | 1487850293 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL Revenue Managment Director 570-271-6603 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208600000X Surgery |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2014-05-22 |