| NPI | 1760656375 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER G. ROWLES Business Manager 814-765-1982 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS012428) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-12-02 |