| NPI | 1659339547 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LORI MARTINEZ Executive Administrator Iii 724-933-1100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 133V00000X Dietitian, Registered |
| 207N00000X Dermatology | |
| 2084P0800X Psychiatry & Neurology, Psychiatry | |
| Enumeration Date | 2006-05-02 |
| Last Update Date | 2023-09-13 |