NPI | 1619332970 |
---|---|
Entity Type | Organization |
Authorized Contact | TONY A SESTI Billing Manager 724-468-6869 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD040458E) |
Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA050990) |
207Q00000X Family Medicine (Licence: PA MD022529E) | |
111N00000X Chiropractor (Licence: PA DC009259) | |
Enumeration Date | 2015-12-30 |
Last Update Date | 2016-01-15 |