Provider First Line Business Practice Location Address:
100 WOODLAWN AVE
Provider Second Line Business Practice Location Address:
STE 175 FMC MEDICAL SERVICES OF UNIONTOWN - CKD SERVICE
Provider Business Practice Location Address City Name:
UNIONTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15401-3105
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-439-3320
Provider Business Practice Location Address Fax Number:
724-439-5397
Provider Enumeration Date:
05/17/2006