Provider First Line Business Practice Location Address:
545 RUGH STREET
Provider Second Line Business Practice Location Address:
SUITE 3000
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-832-1955
Provider Business Practice Location Address Fax Number:
724-832-0301
Provider Enumeration Date:
11/13/2006