| NPI | 1952516890 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEOFFREY BRYANT MONSOUR Owner 724-834-6410 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: PA MD032615E) |
| Enumeration Date | 2007-05-14 |
| Last Update Date | 2020-08-22 |