NPI | 1558445130 |
---|---|
Entity Type | Organization |
Authorized Contact | ROBERT EUGENE DYE Inte RN Al Medicine G.I. 717-272-6621 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: PA 1225E) |
Additional Taxonomies | 261QV0200X Clinic/Center VA (Licence: PA 1225E) |
Enumeration Date | 2006-10-24 |
Last Update Date | 2020-08-22 |