NPI | 1609432749 |
---|---|
Doing Business As | PENN HIGHALNDS DUBOIS |
Entity Type | Organization |
Authorized Contact | BRIAN S KLINE Authorized Official/VP/CFO 814-375-6377 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Enumeration Date | 2019-05-14 |
Last Update Date | 2019-05-14 |