| NPI | 1902865850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER L. BRYAN Projects Mgr. 814-949-7621 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 207N00000X Dermatology |
| 207R00000X Internal Medicine | |
| 207RC0000X Internal Medicine Cardiovascular Disease | |
| 207RE0101X Internal Medicine Endocrinology, Diabetes & Metabolism | |
| 207RH0003X Internal Medicine Hematology & Oncology | |
| 208000000X Pediatrics | |
| 2084N0400X Psychiatry & Neurology Neurology | |
| 363A00000X Physician Assistant | |
| 363LA2100X Nurse Practitioner Acute Care | |
| 213EP1101X Podiatrist Primary Podiatric Medicine | |
| 133V00000X Dietitian, Registered | |
| 207VG0400X Obstetrics & Gynecology Gynecology | |
| Enumeration Date | 2006-03-20 |
| Last Update Date | 2008-01-09 |