| NPI | 1982228185 |
|---|---|
| Other Name | PENN STATE HEALTH PHYSICIAN GROUP AUDIOLOGY |
| Doing Business As | PENN STATE HEALTH MILTON S HERSHEY MEDICAL CENTER PHSYICAIN GROUP |
| Entity Type | Organization |
| Authorized Contact | BRENDA K HITZ Provider Enrollment Specialist 717-531-5995 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 231H00000X Audiologist |
| Enumeration Date | 2020-06-03 |
| Last Update Date | 2020-06-03 |