Provider First Line Business Practice Location Address:
540 MAYER ST
Provider Second Line Business Practice Location Address:
MEDICAL DEPT.
Provider Business Practice Location Address City Name:
BRIDGEVILLE
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15017-2709
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-257-7326
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
08/21/2007