| NPI | 1568657294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. BRYAN Project Mgr. 814-949-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RC0000X Internal Medicine, Cardiovascular Disease |
| Additional Taxonomies | 207N00000X Dermatology |
| 207RH0003X Internal Medicine, Hematology & Oncology | |
| 2084N0400X Psychiatry & Neurology, Neurology | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2007-09-06 |