Provider First Line Business Practice Location Address:
631 N. BROAD ST. EXT.
Provider Second Line Business Practice Location Address:
GROVE CITY MEDICAL CENTER
Provider Business Practice Location Address City Name:
GROVE CITY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16127
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-773-2075
Provider Business Practice Location Address Fax Number:
724-775-6906
Provider Enumeration Date:
07/02/2005