| NPI | 1922217066 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY WILLIAM FEGLEY Medical Physician & Surgeon 724-349-8660 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center (Licence: PA MD430457) |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2009-10-06 |