| NPI | 1720426372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STACI SCOTT Pediatric Nurse Practitioner 814-387-8224 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2300X Clinic/Center, Primary Care (Licence: WA AP60081924) |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |