| NPI | 1578567061 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A CHAMBERS Practice Manager, VP 814-849-5288 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD065092L) |
| Enumeration Date | 2005-06-13 |
| Last Update Date | 2007-07-12 |