Provider First Line Business Practice Location Address:
VAPHS - UNIVERSITY DRIVE CAMPUS
Provider Second Line Business Practice Location Address:
4100 ALEQUIPPA ST, MAIL STOP 131-A
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-223-3548
Provider Business Practice Location Address Fax Number:
412-822-3050
Provider Enumeration Date:
04/20/2011