Provider First Line Business Practice Location Address:
1900 WATERDAM PLAZA
Provider Second Line Business Practice Location Address:
BLDG #3
Provider Business Practice Location Address City Name:
MCMURRAY
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15317-5442
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-731-0007
Provider Business Practice Location Address Fax Number:
724-731-0040
Provider Enumeration Date:
11/14/2006