| NPI | 1922174747 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD DINGER CFO 814-877-3739 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical (Licence: PA 151001) |
| Enumeration Date | 2006-11-24 |
| Last Update Date | 2023-11-27 |