| NPI | 1649719238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL BRIAN VUKMER Chief Executive Officer 412-651-6015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2017-02-16 |
| Last Update Date | 2017-02-16 |