| NPI | 1821093204 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVE BUCHANAN Director 814-849-0898 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 11351500) |
| Enumeration Date | 2005-06-14 |
| Last Update Date | 2008-04-20 |