NPI | 1699153247 |
---|---|
Entity Type | Organization |
Authorized Contact | KEITH E FRNDAK Chief Executive Officer 724-352-1571 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 261QM1300X Clinic/Center Multi-Specialty |
Enumeration Date | 2015-05-15 |
Last Update Date | 2015-05-15 |