Organization
MOUNT NITTANY MEDICAL CENTER HEALTH SERVICES INC
Active
Other names
Mount Nittany Physician Group
Organization subpart
No
Provider details
NPI number
Authorized official
BRYAN ROACH (CFO)
(303) 887-4229
Entity
Organization
Contact information
Practice address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
(814) 231-8569
Mailing address
101 REGENT CT, STATE COLLEGE, PA 16801-7965
(814) 231-2101
(148) 231-8569
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
—
—
207XS0117X
Orthopaedic Surgery of the Spine Physician
Primary
—
—
Other
Enumeration date
05/08/2025
Last updated
05/09/2025
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