| NPI | 1861274169 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ADAM LOPEZ COO 814-598-2340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QU0200X Clinic/Center, Urgent Care |
| Additional Taxonomies | 207Q00000X Family Medicine |
| Enumeration Date | 2023-10-20 |
| Last Update Date | 2024-08-28 |