| NPI | 1750423653 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. BRYAN Projects Mgr. 814-949-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |