NPI | 1578198941 |
---|---|
Entity Type | Organization |
Authorized Contact | RICHARD LUSK Chief Financial Officer 814-868-7760 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207QG0300X Family Medicine, Geriatric Medicine |
207R00000X Internal Medicine | |
207VG0400X Obstetrics & Gynecology, Gynecology | |
207W00000X Ophthalmology | |
207X00000X Orthopaedic Surgery | |
213ES0103X Podiatrist, Foot & Ankle Surgery | |
Enumeration Date | 2020-03-06 |
Last Update Date | 2023-04-26 |