| NPI | 1982026837 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARI WARGO-DORSEY Podiatrist 724-422-4199 |
| Organization Subpart ? | No |
| Primary Taxonomy | 302F00000X Exclusive Provider Organization (Licence: PA Sc006043) |
| Enumeration Date | 2014-01-13 |
| Last Update Date | 2014-01-13 |