| NPI | 1538649280 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY TAYLOR Medical Director 724-216-0317 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP019081) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2018-08-21 |