Provider First Line Business Practice Location Address:
333 HARVEY AVE
Provider Second Line Business Practice Location Address:
SUITE 3
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-1993
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-850-7200
Provider Business Practice Location Address Fax Number:
724-850-7214
Provider Enumeration Date:
10/26/2007