| NPI | 1982077533 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE CARROLL Physician Assistant 724-689-7135 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: PA MA057957) |
| Enumeration Date | 2015-11-04 |
| Last Update Date | 2015-11-04 |