NPI | 1942817804 |
---|---|
Doing Business As | LA VISTA HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MELISSA A TREVELLINE CEO 724-462-3975 |
Organization Subpart ? | No |
Primary Taxonomy | 207Q00000X Family Medicine |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
Enumeration Date | 2020-09-24 |
Last Update Date | 2021-09-20 |