| NPI | 1598992554 |
|---|---|
| Doing Business As | MOUNT NITTANY PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | BRYAN ROACH Chief Financial Officer 814-231-7011 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine |
| 207Q00000X Family Medicine | |
| 207RC0000X Internal Medicine, Cardiovascular Disease | |
| 207RP1001X Internal Medicine, Pulmonary Disease | |
| 207V00000X Obstetrics & Gynecology | |
| 207Y00000X Otolaryngology | |
| 208000000X Pediatrics | |
| 208200000X Plastic Surgery | |
| 208600000X Surgery | |
| 2086S0122X Surgery, Plastic and Reconstructive Surgery | |
| 208800000X Urology | |
| 208D00000X General Practice | |
| 363AM0700X Physician Assistant, Medical | |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2009-06-17 |
| Last Update Date | 2023-05-11 |