| NPI | 1497176184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT RICHARD ROGERS President 724-935-6670 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA DS020317L) |
| Additional Taxonomies | 1223G0001X Dentist, General Practice (Licence: PA DS020317L) |
| Enumeration Date | 2013-12-23 |
| Last Update Date | 2023-10-16 |