| NPI | 1669217808 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOURDAN STRISHOCK Director 814-375-6160 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207RR0500X Internal Medicine Rheumatology |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |