NPI | 1831140243 |
---|---|
Entity Type | Organization |
Authorized Contact | KENNETH HOLDREN CAO 570-271-5490 |
Organization Subpart ? | No |
Primary Taxonomy | 207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
364S00000X Clinical Nurse Specialist | |
Enumeration Date | 2006-05-12 |
Last Update Date | 2008-06-27 |