Provider First Line Business Practice Location Address:
4100 OLD WILLIAM PENN HIGHWAY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
MURRYSVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15668
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-512-5910
Provider Business Practice Location Address Fax Number:
412-512-5910
Provider Enumeration Date:
12/12/2006