103K00000X
Forty Fort, PA
Specialty
103K00000X
NPI
1124878947
190 Welles St, Forty Fort, PA 18704
(570) 263-4091Confirm current license and practice information on the official CMS NPI registry.
View NPI RecordThis surgeon specializes in 103k00000x procedures performed in an outpatient ambulatory surgical setting.
NUCC Taxonomy: 103K00000X