Provider First Line Business Practice Location Address:
100 STOOPS DRIVE
Provider Second Line Business Practice Location Address:
SUITE 240 SPARTAN SURGERY CENTER
Provider Business Practice Location Address City Name:
MONONGAHELA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15063
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-483-4282
Provider Business Practice Location Address Fax Number:
724-483-4078
Provider Enumeration Date:
12/08/2009