Provider First Line Business Practice Location Address:
532 W PITTSBURGH ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601-2239
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-832-4450
Provider Business Practice Location Address Fax Number:
724-830-6669
Provider Enumeration Date:
10/07/2011