| NPI | 1588249668 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAURA FRANK Credentialing Supervisor 717-851-6832 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208VP0014X Pain Medicine Interventional Pain Medicine |
| Enumeration Date | 2021-03-10 |
| Last Update Date | 2021-03-10 |