| NPI | 1770527004 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW DAVID CRAGO Owner 724-347-6356 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS-010124-L) |
| Enumeration Date | 2006-06-16 |
| Last Update Date | 2016-09-13 |