| NPI | 1942713409 |
|---|---|
| Doing Business As | EXCELA SQUARE AT LATROBE PRIMARY CARE |
| Entity Type | Organization |
| Authorized Contact | RENEE M VARNEY Lead Credentialing COO Rdinator 724-850-6933 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2019-02-11 |