| NPI | 1568400521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY A RAYMOND President 814-943-3668 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207XS0114X Orthopaedic Surgery Adult Reconstructive Orthopaedic Surgery |
| 207XX0004X Orthopaedic Surgery Foot and Ankle Surgery | |
| 207XX0005X Orthopaedic Surgery Sports Medicine | |
| 207XX0801X Orthopaedic Surgery Orthopaedic Trauma | |
| 213E00000X Podiatrist (Licence: PA SC002487L) | |
| 213EP1101X Podiatrist Primary Podiatric Medicine | |
| 213ES0000X Podiatrist Sports Medicine | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 213ES0131X Podiatrist Foot Surgery | |
| 222Z00000X Orthotist | |
| 363A00000X Physician Assistant | |
| 363AM0700X Physician Assistant Medical | |
| 363AS0400X Physician Assistant Surgical | |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-06-03 |
| Last Update Date | 2023-06-20 |