| NPI | 1659317766 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TINA POWERS Practice Administrator 717-920-7664 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207T00000X Neurological Surgery (Licence: PA 047130L) |
| Additional Taxonomies | 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD430341) |
| 2084N0400X Psychiatry & Neurology Neurology (Licence: PA MD0706202L) | |
| 363AS0400X Physician Assistant Surgical (Licence: PA MA054914) | |
| 363AS0400X Physician Assistant Surgical (Licence: PA MA003389L) | |
| Enumeration Date | 2006-06-20 |
| Last Update Date | 2013-08-15 |