Provider First Line Business Practice Location Address:
1800 E PARK AVE
Provider Second Line Business Practice Location Address:
LANCE AND ELLEN SHANER CANCER PAVILION
Provider Business Practice Location Address City Name:
STATE COLLEGE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16803-6709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-272-4400
Provider Business Practice Location Address Fax Number:
814-231-7295
Provider Enumeration Date:
07/03/2013