| NPI | 1558492496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS R COLKITT Director 814-689-2066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: MD A1150R) |
| Enumeration Date | 2007-03-09 |
| Last Update Date | 2020-08-22 |