Provider First Line Business Practice Location Address:
1633 PHILIPSBURG BIGLER HWY
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
PHILIPSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16866-8112
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-342-2755
Provider Business Practice Location Address Fax Number:
814-342-2755
Provider Enumeration Date:
06/20/2012