Provider First Line Business Practice Location Address:
5000 WATERDAM PLAZA DR
Provider Second Line Business Practice Location Address:
SUITE 180
Provider Business Practice Location Address City Name:
MC MURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-5412
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-942-4372
Provider Business Practice Location Address Fax Number:
724-942-4373
Provider Enumeration Date:
09/23/2013