| NPI | 1811312689 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES GILL Chief Operating Officer 717-741-1414 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363AM0700X Physician Assistant, Medical (Licence: PA MA056736) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |