| NPI | 1770176778 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HOLLY H BROWN Credentialing COO Rdinator 717-920-1861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207X00000X Orthopaedic Surgery |
| Additional Taxonomies | 207LP2900X Anesthesiology Pain Medicine |
| 207RR0500X Internal Medicine Rheumatology | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2021-12-03 |