| NPI | 1689474900 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID R BUCKWALTER Physician 717-269-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 202K00000X Phlebology |
| Additional Taxonomies | 2086S0129X |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-11-16 |