Provider First Line Business Practice Location Address:
1111 E END BLVD
Provider Second Line Business Practice Location Address:
VA MEDICAL CENTER
Provider Business Practice Location Address City Name:
PLAINS TWP
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
18702-7923
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
570-824-3521
Provider Business Practice Location Address Fax Number:
570-819-5176
Provider Enumeration Date:
06/27/2007