Provider First Line Business Practice Location Address:
1451 FRANKSTOWN RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
JOHNSTOWN
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15902-1318
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-955-0400
Provider Business Practice Location Address Fax Number:
814-955-0428
Provider Enumeration Date:
03/23/2022