| NPI | 1558868570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RUSSELL CAMERON Director, Authorized Official 814-375-3442 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology |
| Additional Taxonomies | 207VM0101X Obstetrics & Gynecology, Maternal & Fetal Medicine |
| Enumeration Date | 2018-04-06 |
| Last Update Date | 2018-10-30 |