| NPI | 1548717572 |
|---|---|
| Other Name | ERIE CLINIC PROFESSIONAL SERVICES |
| Entity Type | Organization |
| Authorized Contact | MARY JANE ANTOON Administrator 814-875-8733 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XP3100X Orthopaedic Surgery, Pediatric Orthopaedic Surgery |
| Enumeration Date | 2016-09-07 |
| Last Update Date | 2017-03-14 |