| NPI | 1881622868 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MELISSA DAVIS VP/COO 570-320-7696 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery |
| Additional Taxonomies | 208200000X Plastic Surgery |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 208C00000X Colon & Rectal Surgery | |
| 213ES0103X Podiatrist Foot & Ankle Surgery | |
| 363A00000X Physician Assistant | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2020-04-09 |