| NPI | 1558533679 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIE L FELTS CAO 724-857-1711 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207P00000X Emergency Medicine (Licence: PA 012601) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: PA 012601) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: PA 012601) | |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-10-30 |