| NPI | 1992530703 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGG MILLER Authorized Official 717-515-4048 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 2085R0204X Radiology Vascular & Interventional Radiology |
| Enumeration Date | 2024-09-03 |
| Last Update Date | 2024-09-04 |