| NPI | 1902986219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRUCE L THOMAS President 814-643-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207RA0000X Internal Medicine, Adolescent Medicine (Licence: PA MD018927E) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2008-03-25 |