NPI | 1942325592 |
---|---|
Entity Type | Organization |
Authorized Contact | THOMAS RICHARD ELLENBERGER President 814-535-7885 |
Organization Subpart ? | No |
Primary Taxonomy | 261QM2500X Clinic/Center, Medical Specialty (Licence: PA MD018414E) |
Enumeration Date | 2007-03-20 |
Last Update Date | 2007-09-27 |