| NPI | 1629874748 |
|---|---|
| Doing Business As | MOUNT NITTANY PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | BRYAN ROACH CFO 814-231-7011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2025-04-08 |