Provider First Line Business Practice Location Address:
1225 WARM SPRINGS AVE
Provider Second Line Business Practice Location Address:
JC BLAIR MEMORIAL HOSPITAL; 2ND FLOOR
Provider Business Practice Location Address City Name:
HUNTINGDON
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16652-2350
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-643-4010
Provider Business Practice Location Address Fax Number:
814-643-8135
Provider Enumeration Date:
09/06/2007