NPI | 1568492858 |
---|---|
Entity Type | Organization |
Authorized Contact | MARC D MASLOV Owner 814-677-6381 |
Organization Subpart ? | No |
Primary Taxonomy | 207Y00000X Otolaryngology (Licence: PA MD045086E) |
Additional Taxonomies | 291U00000X Clinical Medical Laboratory (Licence: PA 025111) |
231H00000X Audiologist (Licence: PA AT000043L) | |
231H00000X Audiologist (Licence: PA AT000767L) | |
231H00000X Audiologist (Licence: PA AT001170L) | |
Enumeration Date | 2006-07-03 |
Last Update Date | 2020-08-22 |