| NPI | 1790943108 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RITA V OLSZEWSKI Clear Med Administrator 814-768-2356 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center Health Service |
| Additional Taxonomies | 207Y00000X Otolaryngology (Licence: PA MD430012) |
| 207ZP0105X Pathology Clinical Pathology/Laboratory Medicine (Licence: PA MD055298L) | |
| 363A00000X Physician Assistant (Licence: PA MA051554) | |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2011-06-07 |