| NPI | 1548228919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CINDY L MULL System Director 570-271-6144 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 204E00000X Oral & Maxillofacial Surgery |
| 204F00000X Transplant Surgery | |
| 2085N0904X Radiology, Nuclear Radiology | |
| 2086S0120X Surgery, Pediatric Surgery | |
| 2086S0127X Surgery, Trauma Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 282N00000X General Acute Care Hospital | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2024-03-13 |