| NPI | 1639189889 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL NEELY Chief Financial Officer 814-827-1852 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 208000000X Pediatrics |
| Enumeration Date | 2006-08-09 |
| Last Update Date | 2019-11-22 |