| NPI | 1548926934 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FELISHA WALKER Billing Manager 814-298-6252 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2021-11-10 |
| Last Update Date | 2025-05-22 |