NPI | 1801386024 |
---|---|
Doing Business As | PENN HIGHLANDS DUBOIS SUMMIT ST BLDG |
Entity Type | Organization |
Authorized Contact | BRIAN S KLINE VP/CFO/Authorized Official 814-375-6377 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207R00000X Internal Medicine |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2018-05-14 |
Last Update Date | 2018-05-14 |