| NPI | 1770329856 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHERRI LYNN LINEBAUGH Senior Enrollment COO Rdinator 717-316-3512 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant Medical |
| Enumeration Date | 2024-07-08 |
| Last Update Date | 2024-07-08 |