Provider First Line Business Practice Location Address:
1671 BUTLER PLANK ROAD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
GLENSHAW
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15116-0000
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
412-492-2737
Provider Business Practice Location Address Fax Number:
412-492-2742
Provider Enumeration Date:
07/29/2006