Provider First Line Business Practice Location Address:
1400 MAIN ST
Provider Second Line Business Practice Location Address:
MID VALLEY HOSPITAL
Provider Business Practice Location Address City Name:
PECKVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18452
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-383-5622
Provider Business Practice Location Address Fax Number:
570-383-5603
Provider Enumeration Date:
04/18/2007