| NPI | 1598898397 |
|---|---|
| Other Name | CORPORATION |
| Entity Type | Organization |
| Authorized Contact | CARRIE DIANE GRINNEN Clerical Manager 724-656-9005 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-07-02 |