| NPI | 1891118667 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK ALLEN HAMPTON CEO 570-916-4897 |
| Organization Subpart ? | No |
| Primary Taxonomy | 111N00000X Chiropractor (Licence: PA DC004453L) |
| Additional Taxonomies | 207R00000X Internal Medicine (Licence: PA MD045007L) |
| 332B00000X Durable Medical Equipment & Medical Supplies (Licence: PA MD070043L) | |
| Enumeration Date | 2014-01-29 |
| Last Update Date | 2015-06-12 |