NPI | 1851776397 |
---|---|
Doing Business As | PENN HIGHLANDS DUBOIS |
Entity Type | Organization |
Authorized Contact | BRIAN KLINE CFO 814-375-6377 |
Organization Subpart ? | Yes |
Primary Taxonomy | 207RI0200X Internal Medicine, Infectious Disease |
Additional Taxonomies | 363A00000X Physician Assistant |
363L00000X Nurse Practitioner | |
207Q00000X Family Medicine | |
207QA0401X Family Medicine, Addiction Medicine | |
207R00000X Internal Medicine | |
2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine | |
2083P0500X Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine | |
Enumeration Date | 2015-07-27 |
Last Update Date | 2020-10-19 |