| NPI | 1639238900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA M BALMER Office Manager 814-654-7334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QR1300X Clinic/Center Rural Health |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2019-12-20 |