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Organization
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Active
Organization
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Active
Parent organization
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Other names
MOUNT NITTANY PHYSICIAN GROUP
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Authorized official
MR. BRYAN ROACH (CHIEF FINANCIAL OFFICER)
(814) 231-7011
Entity
Organization
Contact information
Practice address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 231-7000
(814) 231-7098
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 231-7000
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
—
—
207Q00000X
Family Medicine Physician
—
PA
207R00000X
Internal Medicine Physician
Primary
—
PA
207RC0000X
Cardiovascular Disease Physician
—
—
207RP1001X
Pulmonary Disease Physician
—
PA
207V00000X
Obstetrics & Gynecology Physician
—
—
207Y00000X
Otolaryngology Physician
—
—
208000000X
Pediatrics Physician
—
—
208200000X
Plastic Surgery Physician
—
—
208600000X
Surgery Physician
—
—
2086S0122X
Plastic and Reconstructive Surgery Physician
—
—
208800000X
Urology Physician
—
PA
208D00000X
General Practice Physician
—
—
363AM0700X
Medical Physician Assistant
—
PA
363L00000X
Nurse Practitioner
—
—
Other
Enumeration date
06/17/2009
Last updated
04/08/2025
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