Provider First Line Business Practice Location Address:
VA PRIMARY CARE CLINIC
Provider Second Line Business Practice Location Address:
103 PLAZA DRIVE, SUITE A
Provider Business Practice Location Address City Name:
ST.CLAIRSVILLE
Provider Business Practice Location Address State Name:
OH
Provider Business Practice Location Address Postal Code:
42950
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
740-695-9321
Provider Business Practice Location Address Fax Number:
740-695-6212
Provider Enumeration Date:
07/03/2006