| NPI | 1659575298 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MONICA LYNN WEIDENHAMER Sole Proprietor 724-453-0568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2080A0000X Pediatrics, Adolescent Medicine (Licence: PA MD038036E) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2007-08-10 |