| NPI | 1831478049 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN H. JOHNSON CEO/Owner 814-943-1271 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207LP2900X Anesthesiology, Pain Medicine (Licence: PA MD044867E) |
| Additional Taxonomies | 208100000X Physical Medicine & Rehabilitation (Licence: PA MD438515) |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: PA OS015480) | |
| Enumeration Date | 2011-08-05 |
| Last Update Date | 2017-02-28 |