| NPI | 1780967356 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE WHITEBLOOM Managing Physician 717-544-3400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2011-09-21 |