| NPI | 1871544494 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY W. TEMPLE President 267-350-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA OS0056861) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA OS007889L) |
| 111N00000X Chiropractor (Licence: PA DC002437L) | |
| 171100000X Acupuncturist (Licence: PA AK000464L) | |
| 261QP2000X Clinic/Center, Physical Therapy (Licence: PA PT006669L) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2020-08-22 |