| NPI | 1952466021 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JACQUELYN FRAZIER Billing Supervisor 717-838-6462 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208600000X Surgery (Licence: PA OS003804L) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-08-22 |