| NPI | 1558875716 |
|---|---|
| Doing Business As | EXCELA SQUARE LATROBE FAMILY MEDICINE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL BUSCH Chief Operating Officer 724-689-1641 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-27 |
| Last Update Date | 2017-11-27 |