| NPI | 1609867449 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS ALAN SPOTTS Owner 570-524-5050 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: PA MD058238L) |
| Enumeration Date | 2005-11-01 |
| Last Update Date | 2020-08-22 |