| NPI | 1730624164 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ULRIKE SHAON DONAHUE Physician 814-573-0227 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS015888) |
| Enumeration Date | 2016-12-20 |
| Last Update Date | 2024-08-22 |