| NPI | 1568224095 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAUREEN MILLS Credentialing Specialist 814-577-9385 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |