Provider First Line Business Practice Location Address:
9380 MCKNIGHT RD
Provider Second Line Business Practice Location Address:
SUITE 103
Provider Business Practice Location Address City Name:
PGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15237
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-367-1319
Provider Business Practice Location Address Fax Number:
412-630-9267
Provider Enumeration Date:
09/22/2006