Provider First Line Business Practice Location Address:
1450 SCALP AVE
Provider Second Line Business Practice Location Address:
STE 1000
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15904-3321
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-475-8600
Provider Business Practice Location Address Fax Number:
814-269-5070
Provider Enumeration Date:
07/06/2007