| NPI | 1922233147 |
|---|---|
| Doing Business As | PENN HIGHLANDS DUBOIS FAMILY MED-PRUSAKOWSKI |
| Entity Type | Organization |
| Authorized Contact | BRIAN S KLINE Authorized Official, VP, & CFO 814-375-6377 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 363A00000X Physician Assistant |
| Enumeration Date | 2009-05-18 |
| Last Update Date | 2016-04-08 |