Provider First Line Business Practice Location Address:
150 WAYLAND SMITH DR
Provider Second Line Business Practice Location Address:
SUITE A
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-2677
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-437-8200
Provider Business Practice Location Address Fax Number:
724-437-6673
Provider Enumeration Date:
06/08/2006