Provider First Line Business Practice Location Address:
2907 PLEASANT VALLEY BLVD
Provider Second Line Business Practice Location Address:
JAMES E VAN ZANDT MEDICAL CENTER
Provider Business Practice Location Address City Name:
ALTOONA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
16602
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
814-940-7876
Provider Business Practice Location Address Fax Number:
814-940-7885
Provider Enumeration Date:
03/29/2006