Organization
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Active
Parent organization
MOUNT NITTANY MEDICAL CENTRAL HEALTH SERVICES INC
Other names
MNMC Pain Management Clinic
Organization subpart
Yes
Provider details
NPI number
Legal business name
MOUNT NITTANY MEDICAL CENTRAL HEALTH SERVICES INC
Authorized official
BRYAN ROACH (CFO)
(814) 234-6148
Entity
Organization
Contact information
Practice address
911 UNIVERSITY DRIVE, STATE COLLEGE, PA 16801-6626
(814) 237-3360
Mailing address
1800 EAST PARK AVENUE, STATE COLLEGE, PA 16803-6797
(814) 231-7000
Taxonomy
Speciality
Code
Description
License number
State
261QP3300X
Pain Clinic/Center
Primary
—
PA
Other
Enumeration date
10/25/2007
Last updated
10/04/2021
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