Provider First Line Business Practice Location Address:
540 SOUTH STREET
Provider Second Line Business Practice Location Address:
MEDICAL COMMONS TWO, SUITE 201
Provider Business Practice Location Address City Name:
GREENSBURG
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
15601
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
724-689-1345
Provider Business Practice Location Address Fax Number:
724-689-1349
Provider Enumeration Date:
06/12/2014