Provider First Line Business Practice Location Address:
166 SAXER AVE
Provider Second Line Business Practice Location Address:
SPRINGFIELD SPORT EMERGENCY MEDICAL CORP
Provider Business Practice Location Address City Name:
SPRINGFIELD
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
610-328-7262
Provider Business Practice Location Address Fax Number:
610-328-4440
Provider Enumeration Date:
11/02/2006