Organization
MOUNT NITTANY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ROACH (CPO)
(814) 234-6184
Entity
Organization
Contact information
Practice address
155 WELLNESS WAY, STATE COLLEGE, PA 16803-6797
(814) 231-7000
Mailing address
PO BOX 16, STATE COLLEGE, PA 16804-0016
(814) 466-5090
(814) 466-5095
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
—
—
Other
Enumeration date
06/19/2012
Last updated
04/10/2025
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