| NPI | 1649692252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY A CHAMBERS Vice President 814-229-0414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: SC MD34703) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2014-01-16 |