| NPI | 1962292441 |
|---|---|
| Doing Business As | MOUNT NITTANY PHYSICIAN GROUP |
| Entity Type | Organization |
| Authorized Contact | BRYAN ROACH CFO 303-887-4229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207XS0117X Orthopaedic Surgery, Orthopaedic Surgery of the Spine |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery |
| Enumeration Date | 2025-05-08 |
| Last Update Date | 2025-05-09 |