| NPI | 1821042417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD M. KASTELIC President 814-288-1418 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD040121L) |
| Additional Taxonomies | 213E00000X Podiatrist (Licence: PA MD040121L) |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-11-13 |