| NPI | 1730816703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRANDALYNNE FLEMMING Rcm And Credentialing Manager 814-470-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2022-08-01 |
| Last Update Date | 2025-09-29 |