| NPI | 1700852001 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DOROTHY SPENCE Billing Administrator 814-864-9932 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2085R0202X Radiology, Diagnostic Radiology |
| Enumeration Date | 2006-02-27 |
| Last Update Date | 2007-08-22 |