Provider First Line Business Practice Location Address:
1400 RIGGS RD
Provider Second Line Business Practice Location Address:
SUITE 2
Provider Business Practice Location Address City Name:
SOUTH PARK
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15129-8917
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-653-3242
Provider Business Practice Location Address Fax Number:
412-655-4178
Provider Enumeration Date:
06/16/2008