Provider First Line Business Practice Location Address:
210 MEDICAL CENTER DR
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:
16866-1948
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-342-5402
Provider Business Practice Location Address Fax Number:
814-342-0598
Provider Enumeration Date:
03/31/2015