Provider First Line Business Practice Location Address:
VA PGH HCS
Provider Second Line Business Practice Location Address:
UNIVERSITY DRIVE 'C' (132M-H)
Provider Business Practice Location Address City Name:
PITTSBURGH
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15240
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-365-5712
Provider Business Practice Location Address Fax Number:
412-365-4242
Provider Enumeration Date:
08/11/2006