| NPI | 1760786834 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN S SUTIKA President 814-375-3385 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 208000000X Pediatrics |
| Additional Taxonomies | 363A00000X Physician Assistant |
| 363L00000X Nurse Practitioner | |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2015-03-23 |