| NPI | 1518680164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOURDAN STRISHOCK Enrollment Supervisor 814-375-6160 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207RC0200X Internal Medicine Critical Care Medicine | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |