Organization
MOUNT NITTANY MEDICAL CENTER
Active
Other names
Mount Nittany Pain Center
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ROACH (CFO)
(814) 234-6148
Entity
Organization
Contact information
Practice address
911 UNIVERSITY DR, STATE COLLEGE, PA 16801-6626
(814) 237-3360
Mailing address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 234-6181
(814) 238-5185
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
550301
PA
Other
Enumeration date
11/21/2006
Last updated
04/10/2025
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