| NPI | 1790477586 |
|---|---|
| Other Name | MEADVILLE ENDOCRINOLOGY |
| Entity Type | Organization |
| Authorized Contact | CORY FRANK JACKSON Controller 814-333-5766 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-05-22 |