| NPI | 1730108994 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN BLAIR WITHEROW Business Manager 814-765-5796 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RP1001X Internal Medicine, Pulmonary Disease |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2014-01-24 |