| NPI | 1508980277 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANN KATHLEEN BLAKELEY President 724-625-6440 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology (Licence: PA OS 005174L) |
| Enumeration Date | 2007-03-19 |
| Last Update Date | 2007-07-28 |