| NPI | 1568012839 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD MICHAEL KASTELIC President 814-288-4498 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 213E00000X Podiatrist |
| Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology |
| 2085R0202X Radiology, Diagnostic Radiology | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine | |
| Enumeration Date | 2019-09-18 |
| Last Update Date | 2019-09-18 |