| NPI | 1760524664 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. BRYAN Projects Mgr. 814-949-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RH0003X Internal Medicine, Hematology & Oncology |
| Additional Taxonomies | 363L00000X Nurse Practitioner |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2007-08-08 |