| NPI | 1912170671 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA JEAN SHELL Surgical Care Coordinator 814-948-2805 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA MD-064306-L) |
| Additional Taxonomies | 2086S0129X (Licence: PA MD-064306-L) |
| 208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery) (Licence: PA MD-064306-L) | |
| Enumeration Date | 2008-04-02 |
| Last Update Date | 2008-04-02 |