| NPI | 1992235238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAULINA J COLLIER Owner 724-812-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 363A00000X Physician Assistant (Licence: NC 0010-04275) |
| Enumeration Date | 2017-06-19 |
| Last Update Date | 2017-06-19 |