| NPI | 1710022678 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EVA KUNZ Billing Administrator 717-564-0564 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA BL5564340) |
| Enumeration Date | 2007-02-20 |
| Last Update Date | 2010-06-23 |