NPI | 1912008475 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES W MANSBERGER Osteopathic Physician & Surgeon 814-627-0071 |
Organization Subpart ? | No |
Primary Taxonomy | 207R00000X Internal Medicine (Licence: PA OS010062L) |
Additional Taxonomies | 208000000X Pediatrics (Licence: PA OS010062L) |
Enumeration Date | 2006-09-26 |
Last Update Date | 2020-08-22 |