| NPI | 1780776294 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM KEITH JOHNJULIO President 412-415-1138 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363AM0700X Physician Assistant, Medical (Licence: PA MA002042L) |
| 363L00000X Nurse Practitioner (Licence: PA TP005003B) | |
| 207R00000X Internal Medicine | |
| 363A00000X Physician Assistant (Licence: PA MA052916) | |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2015-10-28 |