Provider First Line Business Practice Location Address:
500 HOSPITAL WAY
Provider Second Line Business Practice Location Address:
PAINTER BLDG., SUITE 9
Provider Business Practice Location Address City Name:
MCKEESPORT
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15132-2004
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-664-2480
Provider Business Practice Location Address Fax Number:
412-664-6772
Provider Enumeration Date:
10/19/2010